Simison, Michael D
Simison, Michael D is an individual health care provider with primary practice located at 4005 Wilson Ave Sw , Cedar Rapids IA 52404-6340. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Simison, Michael D can be contacted via phone (319) 826-3994.Contact Information
Primary practice address
4005 Wilson Ave Sw
Cedar Rapids IA 52404-6340
Phone: (319) 826-3994
Fax: (319) 826-3996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 37768 | Iowa |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37768 | Iowa |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 37768 | Iowa |
Profile Details
| NPI number | 1366651150 |
|---|---|
| LBN Legal business name | Simison, Michael D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Feb 14th, 2017 - about 9 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366651150 | NPPES |
| Other | 074570002 | MEDICARE PTAN |
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