Simon, Jack
Simon, Jack is an sole proprietor health care provider with primary practice located at 164 Main St , Los Altos CA 94022-2928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Simon, Jack can be contacted via phone (650) 941-6670.Contact Information
Primary practice address
164 Main St
Los Altos CA 94022-2928
Phone: (650) 941-6670
Fax: (650) 949-1262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G19513 | California |
Profile Details
| NPI number | 1861694135 |
|---|---|
| LBN Legal business name | Simon, Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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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