Simmons, Mark S
Simmons, Mark S is an individual health care provider with primary practice located at 4674 Snow Mesa Dr Suite 120, Fort Collins CO 80528-8615. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Simmons, Mark S can be contacted via phone (970) 266-3650.Contact Information
Primary practice address
4674 Snow Mesa Dr Suite 120
Fort Collins CO 80528-8615
Phone: (970) 266-3650
Fax: (970) 266-3660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37923 | Colorado |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 37923 | Colorado |
Profile Details
| NPI number | 1811092760 |
|---|---|
| LBN Legal business name | Simmons, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Mar 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811092760 | NPPES |
| Colorado | Other | 110198245 | RR MEDICARE PIN |
| Colorado | MEDICAID | 81353871 | RR MEDICARE PIN |
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