Provider Demographics
NPI:1477370989
Name:POWERS, SONJA (DC)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2052 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:EAST PETERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17520-1623
Mailing Address - Country:US
Mailing Address - Phone:419-989-5877
Mailing Address - Fax:
Practice Address - Street 1:9 W WILLOW RD
Practice Address - Street 2:
Practice Address - City:WILLOW STREET
Practice Address - State:PA
Practice Address - Zip Code:17584-9701
Practice Address - Country:US
Practice Address - Phone:717-826-9754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011355111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor