Provider Demographics
NPI:1912245507
Name:KIM A. SOMMER L.L.C.
Entity Type:Organization
Organization Name:KIM A. SOMMER L.L.C.
Other - Org Name:BRANCHBURG COMMONS CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-575-7400
Mailing Address - Street 1:3322 ROUTE 22
Mailing Address - Street 2:SUITE 605
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3476
Mailing Address - Country:US
Mailing Address - Phone:908-575-7400
Mailing Address - Fax:908-575-7401
Practice Address - Street 1:3322 ROUTE 22
Practice Address - Street 2:SUITE 605
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3476
Practice Address - Country:US
Practice Address - Phone:908-575-7400
Practice Address - Fax:908-575-7401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00261800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty