Simon, Derron M

Simon, Derron M is an individual health care provider with primary practice located at 2221 N Buchanan St , Arlington VA 22207-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Simon, Derron M can be contacted via phone (703) 688-2478.

Contact Information

Primary practice address
2221 N Buchanan St Arlington VA 22207-2526
Phone: (703) 688-2478
Fax: (703) 688-3438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101232169 Virginia

Profile Details

NPI number 1164482980
LBN Legal business name Simon, Derron M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 21st, 2012 - about 14 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 1164482980 NPPES
Other 189723 ANTHEM
Other 00X035C01 ANTHEM

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