Provider Demographics
NPI:1912128000
Name:SOMMER, ANDREW J (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:SOMMER
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 1:265 N MCELROY RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44905-2702
Mailing Address - Country:US
Mailing Address - Phone:507-514-3711
Mailing Address - Fax:
Practice Address - Street 1:265 N MCELROY RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44905-2702
Practice Address - Country:US
Practice Address - Phone:507-514-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4156111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor