Simmons, Coeta

Simmons, Coeta is an individual health care provider with primary practice located at 3015 E Skelly Dr Suite 103, Tulsa OK 74105-6317. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Simmons, Coeta can be contacted via phone (918) 712-0859.

Contact Information

Primary practice address
3015 E Skelly Dr Suite 103 Tulsa OK 74105-6317
Fax: (918) 388-6456
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1124572136
LBN Legal business name Simmons, Coeta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2016
Last updated Aug 8th, 2016 - about 8 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 1124572136 NPPES
Oklahoma MEDICAID 200323940

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