Healthcare Provider Details

I. General information

NPI: 1891088837
Provider Name (Legal Business Name): SARAH ELIZABETH SOMMER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2011
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17006 HIGHWAY 87
BOONVILLE MO
65233-2938
US

IV. Provider business mailing address

17008 HIGHWAY 87
BOONVILLE MO
65233-2938
US

V. Phone/Fax

Practice location:
  • Phone: 660-373-2280
  • Fax:
Mailing address:
  • Phone: 660-621-0645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2022034608
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: