Simmons, Michael Anthony

Simmons, Michael Anthony is an individual health care provider with primary practice located at 1200 N Elm St , Greensboro NC 27401-1004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Simmons, Michael Anthony can be contacted via phone (336) 832-6160.

Contact Information

Primary practice address
1200 N Elm St Greensboro NC 27401-1004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9500725 North Carolina
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 9500725 North Carolina

Profile Details

NPI number 1174567630
LBN Legal business name Simmons, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174567630 NPPES
North Carolina Other 1005T BCBS NC
North Carolina Other D1328 BCBS NC
North Carolina Other 5108576 BCBS NC
North Carolina MEDICAID 891005T BCBS NC

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