Somerville, Judson J.
Somerville, Judson J. is an sole proprietor health care provider with primary practice located at 9114 Mcpherson Rd Ste 2508 , Laredo TX 78045-6511. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Somerville, Judson J. can be contacted via phone (956) 717-2962.Contact Information
Primary practice address
9114 Mcpherson Rd Ste 2508
Laredo TX 78045-6511
Phone: (956) 717-2962
Fax: (956) 717-0069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | H6622 | Texas |
Profile Details
| NPI number | 1982781506 |
|---|---|
| LBN Legal business name | Somerville, Judson J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Feb 25th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982781506 | NPPES |
| Texas | MEDICAID | 124906201 | |
| Texas | Other | 81X360 |
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