Simmons, Harold David
Simmons, Harold David is an individual health care provider with primary practice located at 340 Van Dorn St , Grenada MS 38901-4738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Simmons, Harold David can be contacted via phone (662) 226-0325.Contact Information
Primary practice address
340 Van Dorn St
Grenada MS 38901-4738
Phone: (662) 226-0325
Fax: (662) 226-0327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 11777 | Mississippi |
Profile Details
| NPI number | 1497742704 |
|---|---|
| LBN Legal business name | Simmons, Harold David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Oct 4th, 2013 - 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 | 1497742704 | NPPES |
| Mississippi | MEDICAID | 00016473 |
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