Simmons, Eric A

Simmons, Eric A is an sole proprietor health care provider with primary practice located at 335 Allumbaugh St , Boise ID 83704-9208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Simmons, Eric A can be contacted via phone (208) 376-1611.

Contact Information

Primary practice address
335 Allumbaugh St Boise ID 83704-9208
Phone: (208) 376-1611
Fax: (208) 658-1753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0-300 Idaho

Profile Details

NPI number 1023132420
LBN Legal business name Simmons, Eric A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated May 9th, 2008 - about 18 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 1023132420 NPPES
Idaho Other 000010146503 BLUE SHIELD INDIVIDUAL
Idaho MEDICAID 806503100 BLUE SHIELD INDIVIDUAL
Idaho Other S4802 BLUE SHIELD INDIVIDUAL

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