Simon, Jonathan T
Simon, Jonathan T is an individual health care provider with primary practice located at 22 Westfield Ave , Ansonia CT 06401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Simon, Jonathan T can be contacted via phone (203) 736-9919.Contact Information
Primary practice address
22 Westfield Ave
Ansonia CT 06401
Phone: (203) 736-9919
Fax: (203) 735-2055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 234884 | New York |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 234884 | New York |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 46849 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 46849 | Connecticut |
Profile Details
| NPI number | 1073565511 |
|---|---|
| LBN Legal business name | Simon, Jonathan T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Sep 26th, 2018 - about 8 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 | 1073565511 | NPPES |
| Connecticut | MEDICAID | 008002867 |
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