Provider Demographics
NPI:1205504818
Name:BACHMAN, SONJA (HOLISTIC HEALTHCARE)
Entity type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:HOLISTIC HEALTHCARE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 NW 49TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTHMOOR
Mailing Address - State:MO
Mailing Address - Zip Code:64151-3055
Mailing Address - Country:US
Mailing Address - Phone:816-935-6088
Mailing Address - Fax:
Practice Address - Street 1:1830 NW 49TH ST
Practice Address - Street 2:
Practice Address - City:NORTHMOOR
Practice Address - State:MO
Practice Address - Zip Code:64151-3055
Practice Address - Country:US
Practice Address - Phone:816-935-6088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date: