Sims, Gregory Richard
Sims, Gregory Richard is an individual health care provider with primary practice located at 5001 Hardy St , Hattiesburg MS 39402-1308. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Sims, Gregory Richard can be contacted via phone (601) 268-8140.Contact Information
Primary practice address
5001 Hardy St
Hattiesburg MS 39402-1308
Phone: (601) 268-8140
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APN0000010910 | Tennessee |
Nursing Service Providers / Registered Nurse | 163W00000X | RN0000136483 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | A810169 | Mississippi |
Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN863786 | Mississippi |
Profile Details
NPI number | 1669475315 |
---|---|
LBN Legal business name | Sims, Gregory Richard |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2005 |
Last updated | Mar 10th, 2011 - about 14 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 | 1669475315 | NPPES |
Mississippi | MEDICAID | 04927221 | |
Mississippi | MEDICAID | 1034592 |
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