Simon, Ednea A.
Simon, Ednea A. is an individual health care provider with primary practice located at 550 17Th Ave 5Th Floor, Seattle WA 98122-5788. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Simon, Ednea A. can be contacted via phone (206) 215-1440.Contact Information
Primary practice address
550 17Th Ave 5Th Floor
Seattle WA 98122-5788
Phone: (206) 215-1440
Fax: (206) 215-1441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00044096 | Washington |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | MD00044096 | Washington |
Profile Details
| NPI number | 1174604425 |
|---|---|
| LBN Legal business name | Simon, Ednea A. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Sep 9th, 2010 - about 15 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 | 1174604425 | NPPES |
| Washington | MEDICAID | 8441875 | |
| Washington | Other | 246360 |
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