Simmons, Michael Thomas
Simmons, Michael Thomas is an individual health care provider with primary practice located at 13500 Highway 90 , Boutte LA 70039-3500. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Simmons, Michael Thomas can be contacted via phone (985) 331-1866.Contact Information
Primary practice address
13500 Highway 90
Boutte LA 70039-3500
Phone: (985) 331-1866
Fax: (985) 331-8256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 16447 | Louisiana |
Profile Details
| NPI number | 1750696621 |
|---|---|
| LBN Legal business name | Simmons, Michael Thomas |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2010 |
| Last updated | Aug 16th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750696621 | NPPES |
| Louisiana | MEDICAID | 1233706 |
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