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
Fax: (502) 897-2426
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336147065 NPPES
Kentucky MEDICAID 64145899

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