Provider Demographics
NPI:1881195477
Name:SOMMER, AMBER (RDN, LD)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:SOMMER
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1742 GEORGETOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236
Mailing Address - Country:US
Mailing Address - Phone:800-294-9176
Mailing Address - Fax:330-655-8393
Practice Address - Street 1:1742 GEORGETOWN ROAD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236
Practice Address - Country:US
Practice Address - Phone:800-294-9176
Practice Address - Fax:330-655-8393
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered