1528164225 NPI number — DR. GREGORY S SOMMER B.S., D.C.

Table of content: DR. GREGORY S SOMMER B.S., D.C. (NPI 1528164225)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528164225 NPI number — DR. GREGORY S SOMMER B.S., D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SOMMER
Provider First Name:
GREGORY
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
B.S., D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528164225
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/17/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30 W 11TH AVE
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17404-2007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-430-6028
Provider Business Mailing Address Fax Number:
717-430-6028

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 W 11TH AVE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17404-2007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-430-6028
Provider Business Practice Location Address Fax Number:
717-430-6029
Provider Enumeration Date:
09/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC006634L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2718158 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5978317-001 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 03081100 . This is a "CAPITOL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3000187 . This is a "KEYSTONE" identifier , issued by the state of ( PW ) . This identifiers is of the category "OTHER".
  • Identifier: 1639343 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1521299 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 898944 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 92220 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com