Simone, Kenneth
Simone, Kenneth is an individual health care provider with primary practice located at 234 State St , Brewer ME 04412-1519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Simone, Kenneth can be contacted via phone (207) 989-0550.Contact Information
Primary practice address
234 State St
Brewer ME 04412-1519
Phone: (207) 989-0550
Fax: (207) 989-0551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1282 | Maine |
Profile Details
| NPI number | 1417966987 |
|---|---|
| LBN Legal business name | Simone, Kenneth |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jun 20th, 2016 - about 10 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 | 1417966987 | NPPES |
| Maine | MEDICAID | 283360099 | |
| Maine | Other | M61761 | |
| Maine | Other | 001146 | |
| Maine | Other | 1044459 | |
| Maine | Other | 10474554 | |
| Maine | Other | E69439 |
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