Simmons, Connie D

Simmons, Connie D is an individual health care provider with primary practice located at 11365 Dorsett Rd. , Maryland Heights MO 63043. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Simmons, Connie D can be contacted via phone (314) 872-6430.

Contact Information

Primary practice address
11365 Dorsett Rd. Maryland Heights MO 63043
Phone: (314) 872-6430
Fax: (314) 872-6500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 104168 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 104168 Missouri

Profile Details

NPI number 1558468892
LBN Legal business name Simmons, Connie D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 19th, 2009 - about 16 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 1558468892 NPPES
Missouri MEDICAID 207648007

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