Simmons, Mark S

Simmons, Mark S is an individual health care provider with primary practice located at 4674 Snow Mesa Dr Suite 120, Fort Collins CO 80528-8615. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Simmons, Mark S can be contacted via phone (970) 266-3650.

Contact Information

Primary practice address
4674 Snow Mesa Dr Suite 120 Fort Collins CO 80528-8615
Phone: (970) 266-3650
Fax: (970) 266-3660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37923 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37923 Colorado

Profile Details

NPI number 1811092760
LBN Legal business name Simmons, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 22nd, 2016 - about 9 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 1811092760 NPPES
Colorado Other 110198245 RR MEDICARE PIN
Colorado MEDICAID 81353871 RR MEDICARE PIN

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