Simons, Craig Glenn
Simons, Craig Glenn is an individual health care provider with primary practice located at 2305 South 65 Highway , Marshall MO 65340. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Simons, Craig Glenn can be contacted via phone (660) 886-7431.Contact Information
Primary practice address
2305 South 65 Highway
Marshall MO 65340
Phone: (660) 886-7431
Fax: (660) 831-3314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2001019072 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2001019072 | Missouri |
Profile Details
| NPI number | 1073568846 |
|---|---|
| LBN Legal business name | Simons, Craig Glenn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Mar 5th, 2024 - about 9 months 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 | 1073568846 | NPPES |
| Missouri | MEDICAID | 508993300 | |
| Missouri | MEDICAID | 245865902 |
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