Simon, Michael Wayne
Simon, Michael Wayne is an individual health care provider with primary practice located at 610 E Brannon Rd Suite 201, Nicholasville KY 40356-6066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Simon, Michael Wayne can be contacted via phone (859) 277-6516.Contact Information
Primary practice address
610 E Brannon Rd Suite 201
Nicholasville KY 40356-6066
Phone: (859) 277-6516
Fax: (859) 277-1521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22740 | Kentucky |
Profile Details
| NPI number | 1992862205 |
|---|---|
| LBN Legal business name | Simon, Michael Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Apr 8th, 2013 - about 12 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 | 1992862205 | NPPES |
| Kentucky | MEDICAID | 64227408 |
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