Simon, Frank Gotham
Simon, Frank Gotham is an sole proprietor health care provider with primary practice located at 1404 Browns Ln Suite B, Louisville KY 40207-4655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Simon, Frank Gotham can be contacted via phone (502) 895-5088.Contact Information
Primary practice address
1404 Browns Ln Suite B
Louisville KY 40207-4655
Phone: (502) 895-5088
Fax: (502) 897-2426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | 14589 | Kentucky |
Profile Details
| NPI number | 1336147065 |
|---|---|
| LBN Legal business name | Simon, Frank Gotham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jan 15th, 2008 - about 16 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 | 1336147065 | NPPES |
| Kentucky | MEDICAID | 64145899 |
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