Simon, Samuel Charles

Simon, Samuel Charles is an individual health care provider with primary practice located at 600 Medical Center Dr , Newton KS 67114. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Simon, Samuel Charles can be contacted via phone (316) 283-2700.

Contact Information

Primary practice address
600 Medical Center Dr Newton KS 67114
Phone: (316) 283-2700
Fax: (316) 283-1604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54099 Kansas

Profile Details

NPI number 1881665230
LBN Legal business name Simon, Samuel Charles
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Aug 26th, 2008 - about 16 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 1881665230 NPPES
Kansas Other 012043 BCBS
Kansas MEDICAID 100246480A BCBS

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