Stillwaggon, Simon J

Stillwaggon, Simon J is an individual health care provider with primary practice located at 3821 Baring St , Philadelphia PA 19104-5580. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is his primary health care specialty. Stillwaggon, Simon J can be contacted via phone (609) 489-2074.

Contact Information

Primary practice address
3821 Baring St Philadelphia PA 19104-5580
Phone: (609) 489-2074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MSG015461 Pennsylvania

Profile Details

NPI number 1710382486
LBN Legal business name Stillwaggon, Simon J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2014
Last updated Apr 29th, 2026 - about 7 months 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.

Request for update

Popular Providers