Simmons, Jackie Ross
Simmons, Jackie Ross is an individual health care provider with primary practice located at 622 Paseo Del Pueblo Sur Ste A 5401 Ndcbu, Taos NM 87571-5101. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Simmons, Jackie Ross can be contacted via phone (505) 758-3342.Contact Information
Primary practice address
622 Paseo Del Pueblo Sur Ste A 5401 Ndcbu
Taos NM 87571-5101
Phone: (505) 758-3342
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 6447 | New Mexico |
Profile Details
| NPI number | 1295944072 |
|---|---|
| LBN Legal business name | Simmons, Jackie Ross |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 2007 - 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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