Provider Demographics
NPI:1942424213
Name:SONMORE, STEVEN RICHARD (L AC, DIPL AC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:RICHARD
Last Name:SONMORE
Suffix:
Gender:M
Credentials:L AC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5841 PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-2306
Mailing Address - Country:US
Mailing Address - Phone:612-866-4000
Mailing Address - Fax:
Practice Address - Street 1:5841 PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-2306
Practice Address - Country:US
Practice Address - Phone:612-866-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1054171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist