Provider Demographics
NPI:1558707174
Name:SONQUIST CHIROPRACTIC,PLC
Entity Type:Organization
Organization Name:SONQUIST CHIROPRACTIC,PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SONQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-293-4440
Mailing Address - Street 1:31850 SCHOENHERR RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-1983
Mailing Address - Country:US
Mailing Address - Phone:583-293-4440
Mailing Address - Fax:586-293-0840
Practice Address - Street 1:31850 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-1983
Practice Address - Country:US
Practice Address - Phone:583-293-4440
Practice Address - Fax:586-293-0840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010094111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty