Individual
ERIC A SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
335 ALLUMBAUGH ST, BOISE, ID 83704-9208
(208) 376-1611
(208) 658-1753
Mailing address
PO BOX 4656, BOISE, ID 83711-4656
(208) 376-1611
(208) 658-1753
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0-300
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010146503
BLUE SHIELD INDIVIDUAL
ID
05
—
806503100
—
ID
01
—
S4802
BLUE CROSS INDIVIDUAL
ID
Enumeration date
03/19/2007
Last updated
05/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us