Simmons, Peter

Simmons, Peter is an individual health care provider with primary practice located at 1411 S Creasy Ln Suite 130, Lafayette IN 47905-7438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Simmons, Peter can be contacted via phone (765) 447-7447.

Contact Information

Primary practice address
1411 S Creasy Ln Suite 130 Lafayette IN 47905-7438
Phone: (765) 447-7447
Fax: (765) 447-1767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A99981 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01067700A Indiana

Profile Details

NPI number 1265636575
LBN Legal business name Simmons, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Jun 15th, 2020 - about 4 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 1265636575 NPPES
California MEDICAID 00A999810
California MEDICAID 200973600

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