Healthcare Provider Details
I. General information
NPI: 1407927106
Provider Name (Legal Business Name): APRIL ANNE SIMMONS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/13/2006
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1809 E 10TH ST
JEFFERSONVILLE IN
47130-6015
US
IV. Provider business mailing address
PO BOX 1463
JEFFERSONVILLE IN
47131-1463
US
V. Phone/Fax
- Phone: 812-282-8977
- Fax: 812-280-5253
- Phone: 812-282-8977
- Fax: 812-280-5253
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 08002143A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: