Simon, David Charles
Simon, David Charles is an sole proprietor health care provider with primary practice located at 2035 E 17Th St , Idaho Falls ID 83404-6430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Simon, David Charles can be contacted via phone (208) 535-4420.Contact Information
Primary practice address
2035 E 17Th St
Idaho Falls ID 83404-6430
Phone: (208) 535-4420
Fax: (208) 524-1045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 55495 | Tennessee |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | M-6825 | Idaho |
Profile Details
| NPI number | 1518908581 |
|---|---|
| LBN Legal business name | Simon, David Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Sep 17th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518908581 | NPPES |
| Idaho | Other | DI197 | BLUE CROSS |
| Idaho | Other | 20504 | BLUE CROSS |
| Idaho | MEDICAID | 003919400 | BLUE CROSS |
Popular Providers
-
Wiggins, Kim Cheri
738 N College Rd Suite C, Twin Falls ID 83301-3385 -
Ziebarth, Jessica Lee
738 N College Rd Suite C, Twin Falls ID 83301-3385 -
Hedin, Tyler
3200 Channing Way Ste 306 , Idaho Falls ID 83404-7546 -
Cooper, Andrew D
2635 Channing Way , Idaho Falls ID 83404-7518 -
Small, Cole
775 Pole Line Rd W , Twin Falls ID 83301-5814 -
Adams, Mikayla
1590 E Polston Ave Ste B , Post Falls ID 83854-5218 -
Baker, Bryan
2635 Channing Way , Idaho Falls ID 83404-7518 -
Jensen, David Joseph
625 Pole Line Rd W Ste 1A , Twin Falls ID 83301-4269