Simmons, Jon L

Simmons, Jon L is an individual health care provider with primary practice located at 2820 Roosevelt Road , Marinette WI 54143-3834. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Simmons, Jon L can be contacted via phone (715) 735-5225.

Contact Information

Primary practice address
2820 Roosevelt Road Marinette WI 54143-3834
Phone: (715) 735-5225
Fax: (715) 735-5388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37092 Wisconsin
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 4301089159 Michigan

Profile Details

NPI number 1336189075
LBN Legal business name Simmons, Jon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated May 31st, 2018 - about 6 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 1336189075 NPPES
Wisconsin MEDICAID 32167300
Wisconsin MEDICAID 4957216

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