Schommer, Kimberly Sue

Schommer, Kimberly Sue is an individual health care provider with primary practice located at 5325 Elliott Dr , Ypsilanti MI 48197-8633. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Schommer, Kimberly Sue can be contacted via phone (734) 712-8000.

Contact Information

Primary practice address
5325 Elliott Dr Ypsilanti MI 48197-8633
Phone: (734) 712-8000
Fax: (734) 712-4319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004118 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004118 Michigan

Profile Details

NPI number 1356368153
LBN Legal business name Schommer, Kimberly Sue
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jul 19th, 2019 - about 5 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 1356368153 NPPES
Michigan MEDICAID 1356368153

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