Simon, Keri Jo
Simon, Keri Jo is an individual health care provider with primary practice located at 328 Heritage Pl Ste. A, Faribault MN 55021-5251. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Simon, Keri Jo can be contacted via phone (507) 332-0202.Contact Information
Primary practice address
328 Heritage Pl Ste. A
Faribault MN 55021-5251
Phone: (507) 332-0202
Fax: (507) 332-2206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1205911880 |
|---|---|
| LBN Legal business name | Simon, Keri Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205911880 | NPPES |
| Minnesota | Other | 2545 | CITY OF FARIBAULT LICENSE |
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