Provider Demographics
NPI:1790733236
Name:MICHAELS, SONJIA ILENE (DC)
Entity Type:Individual
Prefix:DR
First Name:SONJIA
Middle Name:ILENE
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5472 HIGHWAY 62 W
Mailing Address - Street 2:APT 3
Mailing Address - City:EUREKA SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72632-9341
Mailing Address - Country:US
Mailing Address - Phone:501-227-8001
Mailing Address - Fax:501-227-8002
Practice Address - Street 1:5472 HIGHWAY 62 W
Practice Address - Street 2:APT 3
Practice Address - City:EUREKA SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72632-9341
Practice Address - Country:US
Practice Address - Phone:501-227-8001
Practice Address - Fax:501-227-8002
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5Y671Medicare UPIN