Simmons, Harold David

Simmons, Harold David is an individual health care provider with primary practice located at 340 Van Dorn St , Grenada MS 38901-4738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Simmons, Harold David can be contacted via phone (662) 226-0325.

Contact Information

Primary practice address
340 Van Dorn St Grenada MS 38901-4738
Phone: (662) 226-0325
Fax: (662) 226-0327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11777 Mississippi

Profile Details

NPI number 1497742704
LBN Legal business name Simmons, Harold David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Oct 4th, 2013 - about 13 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 1497742704 NPPES
Mississippi MEDICAID 00016473

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