Simmons, Randy

Simmons, Randy is an individual health care provider with primary practice located at 1210 13Th St , Parkersburg WV 26101-4144. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Simmons, Randy can be contacted via phone (304) 420-9663.

Contact Information

Primary practice address
1210 13Th St Parkersburg WV 26101-4144
Phone: (304) 420-9663
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X West Virginia

Profile Details

NPI number 1669643458
LBN Legal business name Simmons, Randy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2008
Last updated Apr 14th, 2008 - 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 1669643458 NPPES
West Virginia MEDICAID 3810002999

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