Provider Demographics
NPI:1760555866
Name:SONAK FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:SONAK FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SONAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-406-0200
Mailing Address - Street 1:46859 HARRY BYRD HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-2267
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:46859 HARRY BYRD HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-2267
Practice Address - Country:US
Practice Address - Phone:703-406-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555566111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU90572Medicare UPIN