Sommariva, Evelyn Ruth
Sommariva, Evelyn Ruth is an individual health care provider with primary practice located at 285 N. Lilley Rd , Canton MI 48187-4849. 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. Sommariva, Evelyn Ruth can be contacted via phone (734) 495-1506.Contact Information
Primary practice address
285 N. Lilley Rd
Canton MI 48187-4849
Phone: (734) 495-1506
Fax: (734) 495-1780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601005023 | Michigan |
Profile Details
| NPI number | 1619167657 |
|---|---|
| LBN Legal business name | Sommariva, Evelyn Ruth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Apr 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619167657 | NPPES |
| Michigan | Other | 0F31794 | BCBS OF MI |
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