King, Simone E
King, Simone E is an sole proprietor health care provider with primary practice located at 815 Business Park Dr Ste A , Traverse City MI 49686-8683. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. King, Simone E can be contacted via phone (925) 876-1887.Contact Information
Primary practice address
815 Business Park Dr Ste A
Traverse City MI 49686-8683
Phone: (925) 876-1887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95019084 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 4704158711 | Michigan |
Profile Details
| NPI number | 1487317509 |
|---|---|
| LBN Legal business name | King, Simone E |
| Credentials | PMHNPCE-DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2021 |
| Last updated | Dec 8th, 2022 - about 2 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 | 1487317509 | NPPES |
| Michigan | MEDICAID | 1487317509 |
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