Simon, John W

Simon, John W is an sole proprietor health care provider with primary practice located at 920 Albany Shaker Rd Suite 101, Latham NY 12110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Simon, John W can be contacted via phone (518) 533-6502.

Contact Information

Primary practice address
920 Albany Shaker Rd Suite 101 Latham NY 12110
Phone: (518) 533-6502
Fax: (518) 533-6505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 134338 New York

Profile Details

NPI number 1093770323
LBN Legal business name Simon, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Apr 10th, 2023 - about 2 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 1093770323 NPPES
New York Other 206233 WELLCARE
New York Other 000406953005 WELLCARE
New York Other 0499000 WELLCARE
New York MEDICAID 1001534 WELLCARE
New York Other 17149 WELLCARE
New York Other 180045196 WELLCARE
New York Other 409A91 WELLCARE
New York Other 58812 WELLCARE
New York MEDICAID 00652988 WELLCARE
New York Other 10006172 WELLCARE

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