Sim, Phyllis A.

Sim, Phyllis A. is an individual health care provider with primary practice located at 207 West High Street , Mount Vernon OH 43050. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sim, Phyllis A. can be contacted via phone (740) 392-1181.

Contact Information

Primary practice address
207 West High Street Mount Vernon OH 43050
Phone: (740) 392-1181
Fax: (740) 392-1180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN214125 Ohio

Profile Details

NPI number 1245424746
LBN Legal business name Sim, Phyllis A.
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Oct 16th, 2012 - 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 1245424746 NPPES
Ohio MEDICAID 3104269

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