Simandl, Scott C

Simandl, Scott C is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Ste 680 , Milwaukee WI 53215-3633. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Simandl, Scott C can be contacted via phone (414) 385-1922.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Ste 680 Milwaukee WI 53215-3633
Phone: (414) 385-1922
Fax: (414) 385-1899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 10382-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10382 Wisconsin

Profile Details

NPI number 1558977322
LBN Legal business name Simandl, Scott C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2020
Last updated Oct 4th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558977322 NPPES
Wisconsin MEDICAID 100108127

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