Simone, Vincent

Simone, Vincent is an individual health care provider with primary practice located at 2520 White Bear Ave N Suite A, Maplewood MN 55109-5136. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Simone, Vincent can be contacted via phone (651) 770-3891.

Contact Information

Primary practice address
2520 White Bear Ave N Suite A Maplewood MN 55109-5136
Phone: (651) 770-3891
Fax: (651) 748-3117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 750 Minnesota
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 750 Minnesota

Profile Details

NPI number 1427053917
LBN Legal business name Simone, Vincent
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Nov 14th, 2016 - about 8 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 1427053917 NPPES
Wisconsin MEDICAID 43243500
Wisconsin Other 1205933533
Wisconsin Other 2700627
Wisconsin MEDICAID 769462800

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