Calvillo Sommerfeldt, Elizabeth Julia

Calvillo Sommerfeldt, Elizabeth Julia is an individual health care provider with primary practice located at 2163 Nw 2Nd Street , Mcminnville OR 97128-9108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Calvillo Sommerfeldt, Elizabeth Julia can be contacted via phone (503) 472-4197.

Contact Information

Primary practice address
2163 Nw 2Nd Street Mcminnville OR 97128-9108
Phone: (503) 472-4197
Fax: (503) 434-2886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1811093115
LBN Legal business name Calvillo Sommerfeldt, Elizabeth Julia
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated May 10th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811093115 NPPES
Oregon MEDICAID 056221

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