Provider Demographics
NPI:1437338464
Name:SONNIER CHIROPRACTIC CLINIC INC
Entity Type:Organization
Organization Name:SONNIER CHIROPRACTIC CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:SONNIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:225-766-2952
Mailing Address - Street 1:143 LEE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4955
Mailing Address - Country:US
Mailing Address - Phone:225-766-2952
Mailing Address - Fax:225-766-2890
Practice Address - Street 1:143 LEE DR STE 1
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4977
Practice Address - Country:US
Practice Address - Phone:225-766-2952
Practice Address - Fax:225-766-2890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1059111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5X457Medicare UPIN