Shepherd, Claricia Simmons

Shepherd, Claricia Simmons is an individual health care provider with primary practice located at 1799 Mount Mariah Dr , Las Vegas NV 89106-1501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shepherd, Claricia Simmons can be contacted via phone (702) 383-1961.

Contact Information

Primary practice address
1799 Mount Mariah Dr Las Vegas NV 89106-1501
Phone: (702) 383-1961
Fax: (702) 319-6147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10349 Nevada

Profile Details

NPI number 1518930098
LBN Legal business name Shepherd, Claricia Simmons
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 1st, 2021 - about 5 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 1518930098 NPPES
Nevada MEDICAID 1518930098
Nevada MEDICAID 002018793
Nevada MEDICAID 003102793

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