Simmons, Sandra
Simmons, Sandra is an individual health care provider with primary practice located at 2835 Fort Missoula Rd Missoula Valley Pediatrics Ste 205, Missoula MT 59804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Simmons, Sandra can be contacted via phone (406) 542-0391.Contact Information
Primary practice address
2835 Fort Missoula Rd Missoula Valley Pediatrics Ste 205
Missoula MT 59804
Phone: (406) 542-0391
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MT10051 | Montana |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MT10051 | Montana |
Profile Details
| NPI number | 1184634305 |
|---|---|
| LBN Legal business name | Simmons, Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1184634305 | NPPES |
| Montana | MEDICAID | 0047668 |
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