Simon, Krista Brianne
Simon, Krista Brianne is an sole proprietor health care provider with primary practice located at 1118 Oak St Se , Salem OR 97301-4019. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Simon, Krista Brianne can be contacted via phone (503) 585-4949.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1689148637 |
|---|---|
| LBN Legal business name | Simon, Krista Brianne |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2019 |
| Last updated | Jan 13th, 2019 - about 6 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 | 1689148637 | NPPES |
| Oregon | MEDICAID | 122994 |
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