Simko, Elaine
Simko, Elaine is an individual health care provider with primary practice located at 3601 4Th St Suite 3A112, Lubbock TX 79430-0002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Simko, Elaine can be contacted via phone (806) 743-4237.Contact Information
Primary practice address
3601 4Th St Suite 3A112
Lubbock TX 79430-0002
Phone: (806) 743-4237
Fax: (806) 743-2113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 555709 | Texas |
Profile Details
| NPI number | 1710963186 |
|---|---|
| LBN Legal business name | Simko, Elaine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jul 19th, 2007 - about 19 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 | 1710963186 | NPPES |
| Texas | Other | 89N110 | BC/BS |
| Texas | MEDICAID | N6198 | BC/BS |
| Texas | Other | 85758Z | BC/BS |
| Texas | Other | C002 | BC/BS |
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