Simon, Jeffrey Scott

Simon, Jeffrey Scott is an individual health care provider with primary practice located at 9275 N 49Th St , Brown Deer WI 53223-6455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Simon, Jeffrey Scott can be contacted via phone (414) 357-9444.

Contact Information

Primary practice address
9275 N 49Th St Brown Deer WI 53223-6455
Phone: (414) 357-9444
Fax: (414) 357-9422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 27085 Wisconsin

Profile Details

NPI number 1255388708
LBN Legal business name Simon, Jeffrey Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 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 1255388708 NPPES
Wisconsin MEDICAID 30663200

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