Simon, Stevan

Simon, Stevan is an sole proprietor health care provider with primary practice located at 50 Meridian St Suite 2, East Boston MA 02128-1929. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Simon, Stevan can be contacted via phone (617) 561-7246.

Contact Information

Primary practice address
50 Meridian St Suite 2 East Boston MA 02128-1929
Phone: (617) 561-7246
Fax: (617) 561-7247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10941 Massachusetts

Profile Details

NPI number 1427274240
LBN Legal business name Simon, Stevan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jul 9th, 2007 - about 17 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 1427274240 NPPES
Massachusetts MEDICAID 0397831

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