| Organization Name: | SONIC URGENT CARE, PLLC |
| NPI Number: | 1326381773 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OSAZEE JONES OSAGIE (OWNER) |
| Mailing Address: | 406 North Main Street 170 East Longmeadow |
| State: | MA US |
| Postal Code: | 010281812 |
| Phone Number: | 8886279993 |
| Fax Number: | 8668515773 |
| NPI Enumeration Date: | 04/04/2013 |
| NPI Last Update Date: | 05/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 239885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |