Simon, Jeremi D
Simon, Jeremi D is an individual health care provider with primary practice located at 501 Chestnut St , Bowling Green KY 42101-1737. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Simon, Jeremi D can be contacted via phone (270) 901-5000.Contact Information
Primary practice address
501 Chestnut St
Bowling Green KY 42101-1737
Phone: (270) 901-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1255588372 |
|---|---|
| LBN Legal business name | Simon, Jeremi D |
| Credentials | Bachelor of Health Science (BHS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2008 |
| Last updated | Aug 20th, 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 | 1255588372 | NPPES |
| Kentucky | MEDICAID | 30604011 |
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