Simonson, Evan Nicholas

Simonson, Evan Nicholas is an individual health care provider with primary practice located at 1223 Willow Creek Rd , Prescott AZ 86301-1427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Simonson, Evan Nicholas can be contacted via phone (928) 777-9950.

Contact Information

Primary practice address
1223 Willow Creek Rd Prescott AZ 86301-1427
Phone: (928) 777-9950
Fax: (928) 777-9975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 0787 Arizona

Profile Details

NPI number 1699063743
LBN Legal business name Simonson, Evan Nicholas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated Jun 21st, 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 1699063743 NPPES
Arizona MEDICAID 923024

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