Simmons, Samuel

Simmons, Samuel is an individual health care provider with primary practice located at 1280 E Calvada Blvd , Pahrump NV 89048-5693. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Simmons, Samuel can be contacted via phone (775) 751-3377.

Contact Information

Primary practice address
1280 E Calvada Blvd Pahrump NV 89048-5693
Phone: (775) 751-3377
Fax: (775) 751-2323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1085 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1690 Nevada

Profile Details

NPI number 1619305828
LBN Legal business name Simmons, Samuel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2013
Last updated Jan 28th, 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 1619305828 NPPES
Nevada MEDICAID 1619305828

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