Simon, Sheldon

Simon, Sheldon is an sole proprietor health care provider with primary practice located at 1915 W Parrish Ave Ste 300, Owensboro KY 42301-3519. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Suppliers / Customized Equipment. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Simon, Sheldon can be contacted via phone (270) 683-4844.

Contact Information

Primary practice address
1915 W Parrish Ave Ste 300 Owensboro KY 42301-3519
Phone: (270) 683-4844
Fax: (270) 926-8366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 119 Kentucky
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000335A Indiana
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 00119 Kentucky
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1922082957
LBN Legal business name Simon, Sheldon
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2005
Last updated Oct 6th, 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 1922082957 NPPES
Kentucky MEDICAID 80001191
Kentucky MEDICAID 100027980A
Kentucky Other 000000045182
Kentucky MEDICAID 45803004
Kentucky MEDICAID 90270307

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