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Individual

MR. JON ALAN SIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
020258
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020258
STATE LICENSE NUMBER
TN
01
0552370001
DME
TN
01
1295815850
DME
TN
01
200006546
ACS NUMBER
TN
05
3051154
TN
01
3106523
BCBS
05
4084528
TN
01
621419737
TAX ID
TN
01
CL3039
RAILROAD MEDICARE
TN
Enumeration date
10/17/2006
Last updated
03/07/2023
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