Sims, Latoya M

Sims, Latoya M is an individual health care provider with primary practice located at 4757 N 76Th St , Milwaukee WI 53218-4732. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Sims, Latoya M can be contacted via phone (414) 778-4211.

Contact Information

Primary practice address
4757 N 76Th St Milwaukee WI 53218-4732
Phone: (414) 778-4211
Fax: (414) 778-4202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15359131 Wisconsin

Profile Details

NPI number 1518133958
LBN Legal business name Sims, Latoya M
Credentials S A C
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - about 16 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 1518133958 NPPES
Wisconsin Other 15359-131 WISCONSIN DEPARTMENT OF REGULATION AND LICENSING
Wisconsin MEDICAID 3917800031048 WISCONSIN DEPARTMENT OF REGULATION AND LICENSING

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