Provider Demographics
NPI:1417544131
Name:CAIN, SONYA MARIE
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:MARIE
Last Name:CAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-8594
Mailing Address - Country:US
Mailing Address - Phone:937-239-1478
Mailing Address - Fax:
Practice Address - Street 1:1344 HILLTOP RD
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-8594
Practice Address - Country:US
Practice Address - Phone:937-239-1478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker