Simon, Larry Mark

Simon, Larry Mark is an sole proprietor health care provider with primary practice located at 68 Cumberland St Suite 102, Woonsocket RI 02895-3323. 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, Larry Mark can be contacted via phone (401) 356-1940.

Contact Information

Primary practice address
68 Cumberland St Suite 102 Woonsocket RI 02895-3323
Phone: (401) 356-1940
Fax: (401) 356-1949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00146 Rhode Island

Profile Details

NPI number 1487752119
LBN Legal business name Simon, Larry Mark
Credentials MHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jun 4th, 2024 - about 5 months 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 1487752119 NPPES
Rhode Island Other 233219 BLUE CROSS BLUE SHIELD
Rhode Island Other 6267131 BLUE CROSS BLUE SHIELD
Rhode Island MEDICAID LS40876 BLUE CROSS BLUE SHIELD
Rhode Island Other 408993 BLUE CROSS BLUE SHIELD
Rhode Island Other 470076 BLUE CROSS BLUE SHIELD

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