Sims, Clarence Andrew

Sims, Clarence Andrew is an individual health care provider with primary practice located at 1917 N Lakewood Dr , Coeur D Alene ID 83814-2634. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Sims, Clarence Andrew can be contacted via phone (208) 664-8194.

Contact Information

Primary practice address
1917 N Lakewood Dr Coeur D Alene ID 83814-2634
Phone: (208) 664-8194
Fax: (208) 667-1847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-782 Idaho

Profile Details

NPI number 1265456735
LBN Legal business name Sims, Clarence Andrew
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 6th, 2009 - about 15 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 1265456735 NPPES
Idaho Other W1219 BLUE CROSS PIN
Idaho Other 211798 BLUE CROSS PIN
Idaho Other 000010157662 BLUE CROSS PIN

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