Provider Demographics
NPI:1295168060
Name:SOUND INFECTIOUS DISEASE, PLLC
Entity type:Organization
Organization Name:SOUND INFECTIOUS DISEASE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAN
Authorized Official - Middle Name:SOPHIE
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-291-5194
Mailing Address - Street 1:PO BOX 77674
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-0674
Mailing Address - Country:US
Mailing Address - Phone:360-863-3941
Mailing Address - Fax:360-217-7298
Practice Address - Street 1:405 N 179TH PL
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4710
Practice Address - Country:US
Practice Address - Phone:360-863-3941
Practice Address - Fax:360-217-7298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60206188174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty