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Individual

MR. JEFFREY L SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
425 N 30TH ST, OMAHA, NE 68131-2100
(402) 452-5000
(402) 452-5028
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
171
NE
237700000X
Hearing Instrument Specialist
171
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0582742
IA
05
0587394
IA
05
100251703-00
NE
05
100251704-00
NE
05
1582742
IA
05
1587394
IA
05
2582742
IA
05
2587394
IA
05
3582742
IA
05
3587394
IA
01
36820
BCBS BT
NE
01
36821
BCBS ENT
NE
05
4582742
IA
05
5582742
IA
05
6582742
IA
05
7582742
IA
05
8582742
IA
05
9582742
IA
Enumeration date
01/11/2007
Last updated
11/22/2010
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