Sims, Shane Michael
Sims, Shane Michael is an individual health care provider with primary practice located at 1050 River Oaks Dr Suite 200, Flowood MS 39232-9564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Sims, Shane Michael can be contacted via phone (601) 420-0134.Contact Information
Primary practice address
1050 River Oaks Dr Suite 200
Flowood MS 39232-9564
Phone: (601) 420-0134
Fax: (601) 420-0547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 20287 | Mississippi |
Profile Details
| NPI number | 1538344585 |
|---|---|
| LBN Legal business name | Sims, Shane Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2008 |
| Last updated | Nov 1st, 2011 - about 15 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 | 1538344585 | NPPES |
| Mississippi | MEDICAID | 00335014 |
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