Healthcare Provider Details
I. General information
NPI: 1144740705
Provider Name (Legal Business Name): ELIZABETH L SOMMERFELD DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/26/2017
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4650 SIGNAL TREE DR UNIT B200
TIMNATH CO
80547-4911
US
IV. Provider business mailing address
4650 SIGNAL TREE DR UNIT B200
TIMNATH CO
80547-4911
US
V. Phone/Fax
- Phone: 970-810-3150
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | OT018125 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | DR.006820 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: