Simmons, Shaun
Simmons, Shaun is an sole proprietor health care provider with primary practice located at 1355 S Higley Rd Ste 112 , Gilbert AZ 85296-4799. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Simmons, Shaun can be contacted via phone (480) 579-3830.Contact Information
Primary practice address
1355 S Higley Rd Ste 112
Gilbert AZ 85296-4799
Phone: (480) 579-3830
Fax: (480) 447-8868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0739 | Arizona |
Profile Details
| NPI number | 1700014552 |
|---|---|
| LBN Legal business name | Simmons, Shaun |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2009 |
| Last updated | Nov 1st, 2017 - about 8 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 | 1700014552 | NPPES |
| Arizona | MEDICAID | 711698 |
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