Simon, Mary F

Simon, Mary F is an sole proprietor health care provider with primary practice located at 5715 N West Ave Ste 102 , Fresno CA 93711-2376. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Simon, Mary F can be contacted via phone (559) 228-3069.

Contact Information

Primary practice address
5715 N West Ave Ste 102 Fresno CA 93711-2376
Phone: (559) 228-3069
Fax: (559) 228-9228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40323 California

Profile Details

NPI number 1194711275
LBN Legal business name Simon, Mary F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Feb 20th, 2015 - about 9 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 1194711275 NPPES
California Other 00A403230 BLUE SHIELD PIN
California MEDICAID 00A403231 BLUE SHIELD PIN

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