Sommer, Daniel

Sommer, Daniel is an sole proprietor health care provider with primary practice located at 2823 Glenwood Avenue , Rockford IL 61101. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sommer, Daniel can be contacted via phone (815) 968-5342.

Contact Information

Primary practice address
2823 Glenwood Avenue Rockford IL 61101
Phone: (815) 968-5342
Fax: (815) 968-4656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004801A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149019280 Illinois

Profile Details

NPI number 1265470496
LBN Legal business name Sommer, Daniel
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Jul 21st, 2022 - about 2 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 1265470496 NPPES
Indiana Other 000000383548 ANTHEM BC/BS PROVIDER NUM

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