Simon, Barry Charles

Simon, Barry Charles is an individual health care provider with primary practice located at 1411 E 31St St , Oakland CA 94602-1018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Simon, Barry Charles can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
1411 E 31St St Oakland CA 94602-1018
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G51208 California

Profile Details

NPI number 1164413456
LBN Legal business name Simon, Barry Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Oct 29th, 2007 - about 19 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 1164413456 NPPES
California MEDICAID 00G512970

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