Simmons Clemmons, Wanda J
Simmons Clemmons, Wanda J is an sole proprietor health care provider with primary practice located at 6724 Glenkirk Rd , Baltimore MD 21239-1410. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Simmons Clemmons, Wanda J can be contacted via phone (443) 900-3184.Contact Information
Primary practice address
6724 Glenkirk Rd
Baltimore MD 21239-1410
Phone: (443) 900-3184
Fax: (410) 433-2015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | D0035674 | Maryland |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | D0035674 | Maryland |
Profile Details
| NPI number | 1275615775 |
|---|---|
| LBN Legal business name | Simmons Clemmons, Wanda J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Aug 29th, 2014 - about 11 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 | 1275615775 | NPPES |
| Maryland | MEDICAID | 535071900 |
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