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
Fax: (919) 786-9154
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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