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
Phone: (574) 335-6214
Fax: (574) 335-6215
Website:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881776359 | NPPES |
| Indiana | MEDICAID | 200002120 |
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