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NPI Code Detail

MEDICARE: JOSEPH SOMMERS

MEDICARE: JOSEPH SOMMERS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1710738406
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH SOMMERS
Provider Business Mailing Address
First Line : 5620 WILLOW CANYON ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-2514
Country : US
Telephone Number : 361-425-8485
Fax Number :
Provider Business Practice Location Address
First Line : 1255 ALLSTON WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94702-1833
Country : US
Telephone Number : 510-845-9010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2024
Last Update Date : 03/09/2026

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Directions to “ JOSEPH SOMMERS ” Practice Location

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