Simrel, Kermit O

Simrel, Kermit O is an individual health care provider with primary practice located at 9015 Woodyard Rd Suite 111, Clinton MD 20735-4209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Simrel, Kermit O can be contacted via phone (301) 599-0900.

Contact Information

Primary practice address
9015 Woodyard Rd Suite 111 Clinton MD 20735-4209
Phone: (301) 599-0900
Fax: (301) 599-7828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0040023 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD10045 District of Columbia

Profile Details

NPI number 1497829592
LBN Legal business name Simrel, Kermit O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Feb 27th, 2013 - 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 1497829592 NPPES
Maryland MEDICAID 185161600
Maryland MEDICAID 0115143700

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