Provider Demographics
NPI:1376979708
Name:NEWTON, SONJA
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3427 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61103-2029
Mailing Address - Country:US
Mailing Address - Phone:815-739-2362
Mailing Address - Fax:815-986-8954
Practice Address - Street 1:3427 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61103-2029
Practice Address - Country:US
Practice Address - Phone:815-739-2362
Practice Address - Fax:815-986-8954
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter