Simms-Mackey, Pamela Janine

Simms-Mackey, Pamela Janine is an individual health care provider with primary practice located at 5220 Claremont Ave , Oakland CA 94618-1033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Simms-Mackey, Pamela Janine can be contacted via phone (510) 428-3129.

Contact Information

Primary practice address
5220 Claremont Ave Oakland CA 94618-1033
Phone: (510) 428-3129
Fax: (510) 547-2702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A054758 California

Profile Details

NPI number 1053358309
LBN Legal business name Simms-Mackey, Pamela Janine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 18th, 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 1053358309 NPPES
California MEDICAID A547580
California Other GR0095800

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