Individual provider · Type 1 NPI

Anthony E. Somerville

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1629474473 Active

Practice location

107 E 25th St
Baltimore, MD 21218-5213

Call (815) 861-8939 Map

Mailing address

2866 Hilltop Mall Rd
San Pablo, CA 94806-2100

Other practice locations

  • 236 Georgia St, Suite 101, Vallejo, CA 94590-5991 · (815) 861-8939

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629474473

Anthony E. Somerville's National Provider Identifier is 1629474473, issued on Nov 6, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Jan 30, 2020.