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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265636575 | NPPES |
| California | MEDICAID | 00A999810 | |
| California | MEDICAID | 200973600 |
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