Provider Demographics
NPI:1164628087
Name:SOMMA, JOSEPH G (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:G
Last Name:SOMMA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 YORK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6217
Mailing Address - Country:US
Mailing Address - Phone:410-821-0885
Mailing Address - Fax:410-821-0886
Practice Address - Street 1:1206 YORK RD STE 101
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6217
Practice Address - Country:US
Practice Address - Phone:410-821-0885
Practice Address - Fax:410-821-0886
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD201QMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER