Simmons, Steven Boe

Simmons, Steven Boe is an individual health care provider with primary practice located at 2240 E Center St , Pocatello ID 83201-2600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Simmons, Steven Boe can be contacted via phone (208) 233-2100.

Contact Information

Primary practice address
2240 E Center St Pocatello ID 83201-2600
Phone: (208) 233-2100
Fax: (208) 233-3146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-272 Idaho

Profile Details

NPI number 1740212190
LBN Legal business name Simmons, Steven Boe
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 9th, 2018 - about 8 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 1740212190 NPPES
Idaho MEDICAID 805765100

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