Simmons, Richard J

Simmons, Richard J is an individual health care provider with primary practice located at 4021 Avenue B , Scottsbluff NE 69361-4602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Simmons, Richard J can be contacted via phone (308) 630-1400.

Contact Information

Primary practice address
4021 Avenue B Scottsbluff NE 69361-4602
Fax: (308) 632-7830
Website:

Profile Details

NPI number 1003827080
LBN Legal business name Simmons, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Nov 16th, 2007 - about 19 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 1003827080 NPPES
South Dakota Other 4983 DAKOTACARE
South Dakota MEDICAID 7706270 DAKOTACARE
South Dakota Other 2714 DAKOTACARE
South Dakota MEDICAID 10453118 00 DAKOTACARE

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