Simonson, David A
Simonson, David A is an sole proprietor health care provider with primary practice located at 301 Denver Ave , Fort Lupton CO 80621-1821. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Simonson, David A can be contacted via phone (303) 857-6550.Contact Information
Primary practice address
301 Denver Ave
Fort Lupton CO 80621-1821
Phone: (303) 857-6550
Fax: (303) 857-6596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2357 | Colorado |
Profile Details
| NPI number | 1356314744 |
|---|---|
| LBN Legal business name | Simonson, David A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 19th, 2023 - about last year |
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 | 1356314744 | NPPES |
| Colorado | Other | P00743735 | RAILROAD MEDICARE MEMBER PTAN |
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