Simon, Mary Beth

Simon, Mary Beth is an individual health care provider with primary practice located at 40520 Cty Hwy 34 , Ogema MN 56569. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Mammography, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Bone Densitometry. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is her primary health care specialty. Simon, Mary Beth can be contacted via phone (218) 983-6389.

Contact Information

Primary practice address
40520 Cty Hwy 34 Ogema MN 56569
Phone: (218) 983-6389
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X 467987 Minnesota
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 467987 Minnesota
Technologists, Technicians & Other Technical Service Providers / Bone Densitometry 2471B0102X 467987 Minnesota

Profile Details

NPI number 1942790118
LBN Legal business name Simon, Mary Beth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2018
Last updated May 14th, 2018 - about 6 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 1942790118 NPPES
Minnesota MEDICAID 1093761710

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