Sims, Tommy L
Sims, Tommy L is an individual health care provider with primary practice located at 550 N Winstead Ave , Rocky Mount NC 27804-2231. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sims, Tommy L can be contacted via phone (524) 513-4112.Contact Information
Primary practice address
550 N Winstead Ave
Rocky Mount NC 27804-2231
Phone: (524) 513-4112
Fax: (524) 513-4232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9101447 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-10229 | North Carolina |
Profile Details
| NPI number | 1487628376 |
|---|---|
| LBN Legal business name | Sims, Tommy L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Apr 4th, 2022 - about 3 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 | 1487628376 | NPPES |
| Florida | Other | 292352100 | MEDICAID |
| Florida | Other | 9677425 | MEDICAID |
| Florida | Other | Y06TW | MEDICAID |
| Florida | MEDICAID | 017798600 | MEDICAID |
| Florida | Other | 1065775 | MEDICAID |
| Florida | Other | 7171751 | MEDICAID |
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