Simon, Fred

Simon, Fred is an sole proprietor health care provider with primary practice located at 1564 Steamboat Ct , Evergreen CO 80439-9561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Simon, Fred can be contacted via phone (303) 670-3120.

Contact Information

Primary practice address
1564 Steamboat Ct Evergreen CO 80439-9561
Fax: (303) 670-3156
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X E8176 Texas

Profile Details

NPI number 1700212412
LBN Legal business name Simon, Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2013
Last updated Sep 25th, 2013 - about 12 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 1700212412 NPPES
Texas MEDICAID 131581402

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