Schommer, Todd Matthew
Schommer, Todd Matthew is an sole proprietor health care provider with primary practice located at 2010 E 38Th St Suite 105, Davenport IA 52807-1155. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Schommer, Todd Matthew can be contacted via phone (563) 355-5177.Contact Information
Primary practice address
2010 E 38Th St Suite 105
Davenport IA 52807-1155
Phone: (563) 355-5177
Fax: (563) 355-0884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 07468 | Iowa |
Profile Details
| NPI number | 1942356159 |
|---|---|
| LBN Legal business name | Schommer, Todd Matthew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1942356159 | NPPES |
| Iowa | MEDICAID | 0097576 |
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