Grant, Sommer J

Grant, Sommer J is an individual health care provider with primary practice located at 146 W Dale St Suite 201, Waterloo IA 50703-1901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Grant, Sommer J can be contacted via phone (319) 234-4431.

Contact Information

Primary practice address
146 W Dale St Suite 201 Waterloo IA 50703-1901
Phone: (319) 234-4431
Fax: (319) 235-5004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 105635 Iowa

Profile Details

NPI number 1235116153
LBN Legal business name Grant, Sommer J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Oct 20th, 2009 - about 15 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 1235116153 NPPES
Iowa Other P00751284 RR MEDICARE

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