Livengood, Sommer Lynn

Livengood, Sommer Lynn is an individual health care provider with primary practice located at 600 John Deere Rd Suite 401, Moline IL 61265-6869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Livengood, Sommer Lynn can be contacted via phone (309) 779-3627.

Contact Information

Primary practice address
600 John Deere Rd Suite 401 Moline IL 61265-6869
Phone: (309) 779-3627
Fax: (309) 779-4500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A112901 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 041372167 Illinois

Profile Details

NPI number 1225344153
LBN Legal business name Livengood, Sommer Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2010
Last updated Apr 11th, 2013 - about 11 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 1225344153 NPPES
Iowa MEDICAID 1225344153

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