Provider Demographics
NPI:1851459267
Name:HO, SONNY W (DC)
Entity Type:Individual
Prefix:DR
First Name:SONNY
Middle Name:W
Last Name:HO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3047 S. DECATUR BLVD.
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-7144
Mailing Address - Country:US
Mailing Address - Phone:702-222-3288
Mailing Address - Fax:702-222-3444
Practice Address - Street 1:3047 S. DECATUR BLVD.
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-7144
Practice Address - Country:US
Practice Address - Phone:702-222-3288
Practice Address - Fax:702-222-3444
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB787111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV34239Medicare ID - Type Unspecified
NVT89632Medicare UPIN