Sommer, Brian C

Sommer, Brian C is an individual health care provider with primary practice located at 417 W Jefferson St , Morton IL 61550-1817. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sommer, Brian C can be contacted via phone (309) 263-8611.

Contact Information

Primary practice address
417 W Jefferson St Morton IL 61550-1817
Phone: (309) 263-8611
Fax: (309) 263-8926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-007309 Illinois

Profile Details

NPI number 1003986522
LBN Legal business name Sommer, Brian C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Feb 13th, 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 1003986522 NPPES
Other 410046605 PALMETTO GBA RAILROAD MEDICARE

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