Sims, Charles D

Sims, Charles D is an individual health care provider with primary practice located at 422 W White St , Clinton IL 61727-2272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Sims, Charles D can be contacted via phone (217) 935-9570.

Contact Information

Primary practice address
422 W White St Clinton IL 61727-2272
Phone: (217) 935-9570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X Illinois

Profile Details

NPI number 1689765497
LBN Legal business name Sims, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 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 1689765497 NPPES
Illinois Other 05721369 BC/BS OF IL
Illinois MEDICAID 036083984-1 BC/BS OF IL

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