Simons, Glen W.

Simons, Glen W. is an individual health care provider with primary practice located at 3080 Harrodsburg Rd Ste 200 , Lexington KY 40503-2787. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Simons, Glen W. can be contacted via phone (859) 455-8346.

Contact Information

Primary practice address
3080 Harrodsburg Rd Ste 200 Lexington KY 40503-2787
Phone: (859) 455-8346
Fax: (859) 455-8866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36709 Kentucky

Profile Details

NPI number 1386641470
LBN Legal business name Simons, Glen W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jun 6th, 2019 - about 5 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 1386641470 NPPES
Kentucky MEDICAID 64039829

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