Simon, Roger Michael

Simon, Roger Michael is an individual health care provider with primary practice located at 653 N Town Center Drive Suite 518, Las Vegas NV 89144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Simon, Roger Michael can be contacted via phone (702) 369-0200.

Contact Information

Primary practice address
653 N Town Center Drive Suite 518 Las Vegas NV 89144
Fax: (702) 243-8383
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4044 Nevada

Profile Details

NPI number 1831135854
LBN Legal business name Simon, Roger Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1831135854 NPPES
Nevada Other CC6531 BCBS ANTHEM
Nevada Other P00180774 BCBS ANTHEM

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