Simms, Sam Ray

Simms, Sam Ray is an sole proprietor health care provider with primary practice located at 100 St. Mary'S Medical Plaza , Jefferson City MO 65101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Simms, Sam Ray can be contacted via phone (573) 761-7011.

Contact Information

Primary practice address
100 St. Mary'S Medical Plaza Jefferson City MO 65101
Phone: (573) 761-7011
Fax: (573) 636-4819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 108182 Missouri

Profile Details

NPI number 1578604740
LBN Legal business name Simms, Sam Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Mar 7th, 2023 - about 2 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 1578604740 NPPES
Missouri Other 31881 BNDD NUMBER
Missouri Other 108182 BNDD NUMBER

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