Individual
ANNE ELIZABETH SOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D. CCC-A
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2479
(765) 448-8000
(765) 448-8335
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
(765) 448-8335
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001673A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196233
ANTHEM PROVIDER NUMBER
IN
05
—
100196840
—
IN
01
—
9397777
PHCS PID NUMBER
IN
05
—
SO61640064
—
IN
Enumeration date
03/23/2006
Last updated
04/28/2017
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