Simon, Jonathan David
Simon, Jonathan David is an sole proprietor health care provider with primary practice located at 1815 Massachusetts Ave # 007 , Cambridge MA 02140-1430. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Simon, Jonathan David can be contacted via phone (617) 497-9474.Contact Information
Primary practice address
1815 Massachusetts Ave # 007
Cambridge MA 02140-1430
Phone: (617) 497-9474
Fax: (617) 868-4357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH 1586 | Massachusetts |
Profile Details
| NPI number | 1134266349 |
|---|---|
| LBN Legal business name | Simon, Jonathan David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1134266349 | NPPES |
| Maryland | Other | 814646 | USHEALTHCARE ID |
| Maryland | Other | 4400207 | USHEALTHCARE ID |
| Maryland | Other | 351074 | USHEALTHCARE ID |
| Maryland | Other | 4615159 | USHEALTHCARE ID |
| Maryland | Other | SIY36128 | USHEALTHCARE ID |
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