# DR. JONATHAN DAVID SIMON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134266349
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH 1586 | MA | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 351074 | HARVARDPILGRIM ID | MA |
| 01 | — | 4400207 | UNITEDHEALTHCARE ID | MD |
| 01 | — | 4615159 | AETNA ID | MA |
| 01 | — | 814646 | USHEALTHCARE ID | MD |
| 01 | — | SIY36128 | BLUECROSSBLUESHIELD ID | MA |