Simon, Sheldon
Simon, Sheldon is an sole proprietor health care provider with primary practice located at 1915 W Parrish Ave Ste 300, Owensboro KY 42301-3519. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Suppliers / Customized Equipment. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Simon, Sheldon can be contacted via phone (270) 683-4844.Contact Information
Primary practice address
1915 W Parrish Ave Ste 300
Owensboro KY 42301-3519
Phone: (270) 683-4844
Fax: (270) 926-8366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 119 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 07000335A | Indiana |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 00119 | Kentucky |
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1922082957 |
|---|---|
| LBN Legal business name | Simon, Sheldon |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Oct 6th, 2015 - about 11 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 | 1922082957 | NPPES |
| Kentucky | MEDICAID | 80001191 | |
| Kentucky | MEDICAID | 100027980A | |
| Kentucky | Other | 000000045182 | |
| Kentucky | MEDICAID | 45803004 | |
| Kentucky | MEDICAID | 90270307 |
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