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NPI Code Detail

MEDICARE: ANTHONY SOMMARS

MEDICARE: ANTHONY SOMMARS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist1131MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1227350OTHERMNCOMPSYCH ID#
2336R0SOOTHERMNBCBS ID#
32177450OTHERMNCIGNA ID#
4497792OTHERMNVALUE OPTIONS ID#
5HP55636OTHERMNHEALTH PARTNERS ID#

General Provider Information

NPI Number : 1154310134
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY SOMMARS
Provider Business Mailing Address
First Line : 8669 EAGLE POINT BLVD
Second Line :
City : LAKE ELMO
State : MN
Zip : 55042-8628
Country : US
Telephone Number : 651-379-0444
Fax Number : 651-379-0448
Provider Business Practice Location Address
First Line : 8669 EAGLE POINT BLVD
Second Line :
City : LAKE ELMO
State : MN
Zip : 55042-8628
Country : US
Telephone Number : 651-379-0444
Fax Number : 651-379-0448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 07/09/2007

Similar Medicare Providers

1881541969 — MR. WILLIAM JAMES MCCRAW MA
Practice Location Address:
8669 EAGLE POINT BLVD
LAKE ELMO, MN
55042-8628
Practice Phone: 651-379-0444
Practice Fax: 651-383-4459
1538158506 — BACHMANN AND ASSOCIATES, INC. DBA COUNSELING CARE
Practice Location Address:
8669 EAGLE POINT BLVD
LAKE ELMO, MN
55042-8628
Practice Phone: 651-379-0444
Practice Fax: 651-379-0448
1609865674 — JON COLOMBO
Practice Location Address:
8669 EAGLE POINT BLVD
LAKE ELMO, MN
55042-8628
Practice Phone: 651-379-0444
Practice Fax:
1154310126 — TIM JOHNSON M.S.W., LICSW & LMFT
Practice Location Address:
8669 EAGLE POINT BLVD
LAKE ELMO, MN
55042-8628
Practice Phone: 651-379-0444
Practice Fax: 651-379-0448
1518956598 — SAUL SELBY
Practice Location Address:
8669 EAGLE POINT BLVD
LAKE ELMO, MN
55042-8628
Practice Phone: 651-379-0444
Practice Fax: 651-379-0448
1972592954 — KEVIN SPADING
Practice Location Address:
8669 EAGLE POINT BLVD
LAKE ELMO, MN
55042-8628
Practice Phone: 651-379-0444
Practice Fax: 651-379-0434

Directions to “ ANTHONY SOMMARS ” Practice Location

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