Provider Demographics
NPI:1043464472
Name:SONONET, INC.
Entity Type:Organization
Organization Name:SONONET, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:MANCINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-888-8866
Mailing Address - Street 1:901 W 43RD ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3133
Mailing Address - Country:US
Mailing Address - Phone:913-888-8866
Mailing Address - Fax:888-716-4929
Practice Address - Street 1:901 W 43RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3133
Practice Address - Country:US
Practice Address - Phone:913-888-8866
Practice Address - Fax:888-716-4929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01719174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO9004265AMedicare PIN
KS9004265Medicare PIN
MO9004265BMedicare PIN