Simmons, Agnes H
Simmons, Agnes H is an sole proprietor health care provider with primary practice located at 6201 Chestnut St , Philadelphia PA 19139-2906. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Simmons, Agnes H can be contacted via phone (215) 747-1744.Contact Information
Primary practice address
6201 Chestnut St
Philadelphia PA 19139-2906
Phone: (215) 747-1744
Fax: (215) 747-0336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | MD021009E | Pennsylvania |
Profile Details
| NPI number | 1770650970 |
|---|---|
| LBN Legal business name | Simmons, Agnes H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 24th, 2008 - about 16 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 | 1770650970 | NPPES |
| Pennsylvania | MEDICAID | 000632366 |
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