Simmons, Thomas J

Simmons, Thomas J is an individual health care provider with primary practice located at 390 E Longview St , Fayetteville AR 72703-4618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Simmons, Thomas J can be contacted via phone (479) 442-0144.

Contact Information

Primary practice address
390 E Longview St Fayetteville AR 72703-4618
Phone: (479) 442-0144
Fax: (479) 442-4557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X R4083 Arkansas

Profile Details

NPI number 1124091186
LBN Legal business name Simmons, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - 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 1124091186 NPPES
Arkansas Other R4083 AR LICENSE

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