MRS. MARY ELLEN WIESENFARTH SIMONE NPI 1144597006

NPI Information

NPI: 1144597006
Provider Name: MRS. MARY ELLEN WIESENFARTH SIMONE
Classification: Chiropractor - 111NI0013X
Entity Type: Individual

Specialization: Independent Medical Examiner

Address:
275 W SAN BERNARDINO RD
COVINA, CA
ZIP 91723
Phone: (626) 967-3553
Get Directions

MRS. Mary Ellen Wiesenfarth Simone is an independent medical examiner chiropractor in Covina, CA. The provider is a special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. MRS. Mary Ellen Wiesenfarth Simone NPI is 1144597006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

275 W SAN BERNARDINO RD
COVINA, CA
ZIP 91723-516
Phone: (626) 967-3553
Fax: (626) 967-1523

The enumeration date for this NPI number is 11/21/2011 and was last updated on 11/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC22891	CALIFORNIA	No
2	111NX0100X	Chiropractor	Occupational Health	DC22891	CALIFORNIA	No
3	111NI0013X	Chiropractor	Independent Medical Examiner	DC22891	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DC22891	OTHER	CALIFORNIA	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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