Simms, Mark D

Simms, Mark D is an individual health care provider with primary practice located at 13800 W North Ave Child Development Center Of Chw, Brookfield WI 53005-4977. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as his primary health care specialty. Simms, Mark D can be contacted via phone (262) 432-6600.

Contact Information

Primary practice address
13800 W North Ave Child Development Center Of Chw Brookfield WI 53005-4977
Phone: (262) 432-6600
Fax: (262) 432-6604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 35801 Wisconsin

Profile Details

NPI number 1154373918
LBN Legal business name Simms, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 10th, 2014 - about 12 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 1154373918 NPPES
Other 002000135Z HUMANA
MEDICAID 1154373918 HUMANA

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