Simpson-Jackson, Quanika Shuntaaye

Simpson-Jackson, Quanika Shuntaaye is an individual health care provider with primary practice located at 202 E Earll Dr Ste 360 , Phoenix AZ 85012-2677. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Simpson-Jackson, Quanika Shuntaaye can be contacted via phone (602) 698-8261.

Contact Information

Primary practice address
202 E Earll Dr Ste 360 Phoenix AZ 85012-2677
Phone: (602) 698-8261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 51627-AO-0 Nevada

Profile Details

NPI number 1114400637
LBN Legal business name Simpson-Jackson, Quanika Shuntaaye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2018
Last updated Jul 28th, 2020 - about 6 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 1114400637 NPPES
Nevada MEDICAID 8389PCS0

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