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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194711275 | NPPES |
| California | Other | 00A403230 | BLUE SHIELD PIN |
| California | MEDICAID | 00A403231 | BLUE SHIELD PIN |
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