Provider Demographics
NPI:1710504543
Name:WHIG, SONIA NMN
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:NMN
Last Name:WHIG
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 1:675 PRESIDENT ST UNIT 1602
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4582
Mailing Address - Country:US
Mailing Address - Phone:262-994-0041
Mailing Address - Fax:262-994-0041
Practice Address - Street 1:675 PRESIDENT ST UNIT 1602
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4582
Practice Address - Country:US
Practice Address - Phone:262-994-0041
Practice Address - Fax:262-994-0041
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-27
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X
MDDX4959133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist