Provider Demographics
NPI:1386772788
Name:SOMMER, WEBB HANS (ATC)
Entity type:Individual
Prefix:MR
First Name:WEBB
Middle Name:HANS
Last Name:SOMMER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:MR
Other - First Name:WEBB
Other - Middle Name:H
Other - Last Name:SOMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC, TEACHING K-8,
Mailing Address - Street 1:11746 SE BLACK RD
Mailing Address - Street 2:
Mailing Address - City:OLALLA
Mailing Address - State:WA
Mailing Address - Zip Code:98359-9767
Mailing Address - Country:US
Mailing Address - Phone:253-857-8771
Mailing Address - Fax:
Practice Address - Street 1:14105 PURDY DR. NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335
Practice Address - Country:US
Practice Address - Phone:253-278-5954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor