Provider Demographics
NPI:1891879318
Name:DR. JAMES K. SOMMERS, INC, PC
Entity Type:Organization
Organization Name:DR. JAMES K. SOMMERS, INC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:SOMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-426-3994
Mailing Address - Street 1:2844 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-1114
Mailing Address - Country:US
Mailing Address - Phone:734-426-3994
Mailing Address - Fax:734-426-2631
Practice Address - Street 1:2844 BAKER RD
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-1114
Practice Address - Country:US
Practice Address - Phone:734-426-3994
Practice Address - Fax:734-426-2631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2237111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MICH 810041OtherMCARE
MI1010923Medicaid
MI604361OtherACN
MI950H11410OtherBCBSM
MI950H11410OtherBCBSM
MI0H15006Medicare ID - Type UnspecifiedDC