Simmons, Charles W.

Simmons, Charles W. is an individual health care provider with primary practice located at 4077 5Th Ave Emergency Medicine, San Diego CA 92103-2105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Simmons, Charles W. can be contacted via phone (619) 260-7095.

Contact Information

Primary practice address
4077 5Th Ave Emergency Medicine San Diego CA 92103-2105
Phone: (619) 260-7095
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G71866 California

Profile Details

NPI number 1801869839
LBN Legal business name Simmons, Charles W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 3rd, 2008 - about 17 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 1801869839 NPPES
California MEDICAID 00G718660

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