Simon, Frank Tolis
Simon, Frank Tolis is an individual health care provider with primary practice located at 2215 Portland Ave , Louisville KY 40212-1033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Simon, Frank Tolis can be contacted via phone (502) 774-8631.Contact Information
Primary practice address
2215 Portland Ave
Louisville KY 40212-1033
Phone: (502) 774-8631
Fax: (502) 776-8912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34409 | Kentucky |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 34409 | Kentucky |
Profile Details
| NPI number | 1407852221 |
|---|---|
| LBN Legal business name | Simon, Frank Tolis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Apr 21st, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407852221 | NPPES |
| Kentucky | MEDICAID | 64344096 | |
| Kentucky | Other | 000000202123 |
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