Simmons, Randy
Simmons, Randy is an individual health care provider with primary practice located at 1210 13Th St , Parkersburg WV 26101-4144. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Simmons, Randy can be contacted via phone (304) 420-9663.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | West Virginia |
Profile Details
| NPI number | 1669643458 |
|---|---|
| LBN Legal business name | Simmons, Randy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2008 |
| Last updated | Apr 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669643458 | NPPES |
| West Virginia | MEDICAID | 3810002999 |
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