Simon, Shoshana Susan
Simon, Shoshana Susan is an sole proprietor health care provider with primary practice located at 1100 Logger Ct Suite 100G, Raleigh NC 27609-8525. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Simon, Shoshana Susan can be contacted via phone (919) 855-9090.Contact Information
Primary practice address
1100 Logger Ct Suite 100G
Raleigh NC 27609-8525
Phone: (919) 855-9090
Fax: (919) 786-9154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 099925 | North Carolina |
Profile Details
| NPI number | 1770606147 |
|---|---|
| LBN Legal business name | Simon, Shoshana Susan |
| Credentials | MSN, RN, CS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Dec 5th, 2014 - about 10 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 | 1770606147 | NPPES |
| North Carolina | Other | 76654 | BLUECROSS BLUE SHIELD ID |
| North Carolina | Other | RA792 | BLUECROSS BLUE SHIELD ID |
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