Sommer, Todd Clark

Sommer, Todd Clark is an individual health care provider with primary practice located at 218 Old Mocksville Rd , Statesville NC 28625-1930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Sommer, Todd Clark can be contacted via phone (704) 838-7461.

Contact Information

Primary practice address
218 Old Mocksville Rd Statesville NC 28625-1930
Phone: (704) 838-7461
Fax: (704) 838-7467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40925 Wisconsin
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 612 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2021-00393 North Carolina

Profile Details

NPI number 1285668426
LBN Legal business name Sommer, Todd Clark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 2nd, 2022 - 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 1285668426 NPPES
Wisconsin MEDICAID 30092500

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