Organization Name: | DAVID F SONEGO MD PC & ASSOCIATES |
NPI Number: | 1063575108 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID F SONEGO (PRESIDENT OWNER) |
Mailing Address: | 230 E Day Rd Ste 160 Mishawaka |
State: | IN US |
Postal Code: | 465453463 |
Phone Number: | 5742718222 |
Fax Number: | 5742718896 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IN01038008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |