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Contact Information

JASON SIMMONS, PA-C
310 W LOSEY ST
SCOTT AFB, IL62225
 Phone: 618-256-9355
 Fax: 618-256-7653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for JASON SIMMONS · (Male)

NPI # 1780062372
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/14/2015
Last updated 08/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # PA13221
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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