Simmons, Jack W
Simmons, Jack W is an individual health care provider with primary practice located at 2097 Henry Tecklenburg Dr Suite 312W, Charleston SC 29414-5740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Simmons, Jack W can be contacted via phone (843) 769-5620.Contact Information
Primary practice address
2097 Henry Tecklenburg Dr Suite 312W
Charleston SC 29414-5740
Phone: (843) 769-5620
Fax: (843) 769-5625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 10543 | South Carolina |
Profile Details
| NPI number | 1487625240 |
|---|---|
| LBN Legal business name | Simmons, Jack W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jan 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487625240 | NPPES |
| South Carolina | MEDICAID | 105433 | |
| South Carolina | Other | CH6746 |
Popular Providers
-
Dowd, Thomas R
4811 S Arrowhead Dr , Independence MO 64055-6981 -
Culp, John H
2711 Randolph Rd Ste 512, Charlotte NC 28207-2027 -
Joseph, Carium
10 Farmfield Ave , Charleston SC 29407-7756 -
Mccarus, David Craig
109 Bee St , Charleston SC 29401-5703 -
Rittenberg, Charles S.
171 Ashley Ave , Charleston SC 29425-0001 -
Pruitt, Armstead Bert
200 Rutledge Ave , Charleston SC 29403-5848 -
Bystry, Lisa Rene
171 Ashley Ave , Charleston SC 29425-2016 -
Newman, Roger B.
171 Ashley Ave , Charleston SC 29425-0001