Sommer, Nicole Z

Sommer, Nicole Z is an individual health care provider with primary practice located at 747 N Rutledge St , Springfield IL 62702-6700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Sommer, Nicole Z can be contacted via phone (217) 545-6314.

Contact Information

Primary practice address
747 N Rutledge St Springfield IL 62702-6700
Fax: (217) 545-2588
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 036108365 Illinois

Profile Details

NPI number 1629064746
LBN Legal business name Sommer, Nicole Z
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Dec 7th, 2020 - about 4 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 1629064746 NPPES
Illinois MEDICAID 036108365

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