Simmons, Samuel

Simmons, Samuel is an sole proprietor health care provider with primary practice located at 3442 25Th Ave S , Minneapolis MN 55406-2504. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Simmons, Samuel can be contacted via phone (612) 721-0106.

Contact Information

Primary practice address
3442 25Th Ave S Minneapolis MN 55406-2504
Phone: (612) 721-0106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300322 Minnesota

Profile Details

NPI number 1902281256
LBN Legal business name Simmons, Samuel
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2015
Last updated Jul 28th, 2015 - about 10 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 1902281256 NPPES
Minnesota Other 300322 LADC

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