National Provider Identifier Database

MARY B SIMON
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

MARY B SIMON
40520 CTY HWY 34
OGEMA, MN56569
Phone: 218-983-6389
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X
Bone Densitometry Radiologic Technologist 2471B0102X
Mammography Radiologic Technologist 2471M2300X

* Indicates primary specialty

NPI Profile & details for MARY B SIMON

NPI Number 1942790118
Credentials
Entity Individual
Enumeration date 05/14/2018
Last updated 05/14/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 467987
  • MN Medicaid: 1093761710
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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