Simons, David Wayne
Simons, David Wayne is an individual health care provider with primary practice located at 1033 Edgefield St , Greenwood SC 29646-3205. 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. Simons, David Wayne can be contacted via phone (864) 227-3908.Contact Information
Primary practice address
1033 Edgefield St
Greenwood SC 29646-3205
Phone: (864) 227-3908
Fax: (864) 227-2668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | TL1906 | South Carolina |
Profile Details
| NPI number | 1851634653 |
|---|---|
| LBN Legal business name | Simons, David Wayne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2013 |
| Last updated | Nov 14th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851634653 | NPPES |
| South Carolina | MEDICAID | 1704PA |
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