Provider Demographics
NPI:1730399395
Name:SOMMEN, PIETER H (L AC)
Entity type:Individual
Prefix:MR
First Name:PIETER
Middle Name:H
Last Name:SOMMEN
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 WILLOW AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3012
Mailing Address - Country:US
Mailing Address - Phone:201-656-7402
Mailing Address - Fax:
Practice Address - Street 1:875 AVE OF THE AMERICAS
Practice Address - Street 2:1108
Practice Address - City:NEW YORK
Practice Address - State:NE
Practice Address - Zip Code:11001
Practice Address - Country:US
Practice Address - Phone:201-424-3204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002008171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist