Simons, Stephen M

Simons, Stephen M is an individual health care provider with primary practice located at 611 E. Douglas Road Ste 137, Mishawaka IN 46545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Simons, Stephen M can be contacted via phone (574) 335-6214.

Contact Information

Primary practice address
611 E. Douglas Road Ste 137 Mishawaka IN 46545
Fax: (574) 335-6215
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01034571 Indiana

Profile Details

NPI number 1881776359
LBN Legal business name Simons, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Sep 14th, 2016 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881776359 NPPES
Indiana MEDICAID 200002120

Popular Providers