Provider Demographics
NPI:1881234094
Name:SIMPLICETY
Entity type:Organization
Organization Name:SIMPLICETY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WIGGINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-414-6487
Mailing Address - Street 1:116 E 36TH ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41015-1402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:423 WARDS CORNER RD STE B
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-8341
Practice Address - Country:US
Practice Address - Phone:859-414-6487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty