Wilcox, Simmon L
Wilcox, Simmon L is an sole proprietor health care provider with primary practice located at 4550 E Charleston Blvd , Las Vegas NV 89104-5525. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Wilcox, Simmon L can be contacted via phone (702) 415-9906.Contact Information
Primary practice address
4550 E Charleston Blvd
Las Vegas NV 89104-5525
Phone: (702) 415-9906
Fax: (866) 383-4399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | MD033724E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 11588 | Nevada |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 6968998-1205 | Utah |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2009007880 | Missouri |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 11588 | Nevada |
Profile Details
| NPI number | 1205890027 |
|---|---|
| LBN Legal business name | Wilcox, Simmon L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Feb 24th, 2014 - about 11 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 | 1205890027 | NPPES |
| Pennsylvania | Other | 000185023 | HIGHMARK BC/BS |
| Pennsylvania | MEDICAID | 100510116 | HIGHMARK BC/BS |
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