Simon, Sam

Simon, Sam is an sole proprietor health care provider with primary practice located at 4200 Monument Road Outpatient Building, Philadelphia PA 19131-1689. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Simon, Sam can be contacted via phone (215) 877-2000.

Contact Information

Primary practice address
4200 Monument Road Outpatient Building Philadelphia PA 19131-1689
Phone: (215) 877-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN675125 Pennsylvania

Profile Details

NPI number 1326769399
LBN Legal business name Simon, Sam
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2022
Last updated Sep 8th, 2022 - about 2 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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