Simmons Clemmons, Wanda J

Simmons Clemmons, Wanda J is an sole proprietor health care provider with primary practice located at 6724 Glenkirk Rd , Baltimore MD 21239-1410. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Simmons Clemmons, Wanda J can be contacted via phone (443) 900-3184.

Contact Information

Primary practice address
6724 Glenkirk Rd Baltimore MD 21239-1410
Phone: (443) 900-3184
Fax: (410) 433-2015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X D0035674 Maryland
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X D0035674 Maryland

Profile Details

NPI number 1275615775
LBN Legal business name Simmons Clemmons, Wanda J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Aug 29th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275615775 NPPES
Maryland MEDICAID 535071900

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