Provider Demographics
NPI:1417654229
Name:SONCLAIRE INDUSTRIES LLC
Entity Type:Organization
Organization Name:SONCLAIRE INDUSTRIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:EWAN CONSTANTINE
Authorized Official - Last Name:TRACEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-494-6937
Mailing Address - Street 1:21 MAIN STREET SUITE 349
Mailing Address - Street 2:COURT PLAZA SOUTH, WEST WING
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-7086
Mailing Address - Country:US
Mailing Address - Phone:845-494-6937
Mailing Address - Fax:
Practice Address - Street 1:21 MAIN STREET SUITE 349
Practice Address - Street 2:COURT PLAZA SOUTH, WEST WING
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:845-494-6937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)