Simmons, Shaun

Simmons, Shaun is an sole proprietor health care provider with primary practice located at 1355 S Higley Rd Ste 112 , Gilbert AZ 85296-4799. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Simmons, Shaun can be contacted via phone (480) 579-3830.

Contact Information

Primary practice address
1355 S Higley Rd Ste 112 Gilbert AZ 85296-4799
Phone: (480) 579-3830
Fax: (480) 447-8868
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0739 Arizona

Profile Details

NPI number 1700014552
LBN Legal business name Simmons, Shaun
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2009
Last updated Nov 1st, 2017 - 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 1700014552 NPPES
Arizona MEDICAID 711698

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