Simmons-Ellington, Wylene B

Simmons-Ellington, Wylene B is an sole proprietor health care provider with primary practice located at 2331 N State Road 7 Ste 124 , Lauderdale Lakes FL 33313-3771. She recently has only one registered license in Other Service Providers / Midwife, Lay, which is considered as her primary health care specialty. Simmons-Ellington, Wylene B can be contacted via phone (954) 484-7698.

Contact Information

Primary practice address
2331 N State Road 7 Ste 124 Lauderdale Lakes FL 33313-3771
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife, Lay 175M00000X MW122 Florida

Profile Details

NPI number 1639358716
LBN Legal business name Simmons-Ellington, Wylene B
Credentials LICENSED MIDWIFE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2007
Last updated Oct 25th, 2007 - about 18 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 1639358716 NPPES
Florida Other Y4971 BLUE CROSS BLUE SHEILD
Florida MEDICAID 340135900 BLUE CROSS BLUE SHEILD

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