MEDICARE: SONIA L ALLISON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1730789041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA L ALLISON

Provider Business Mailing Address
First Line	:	5924 SAN JUAN DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70811-4127
Country	:	US
Telephone Number	:	225-287-6748
Fax Number	:

Provider Business Practice Location Address
First Line	:	5924 SAN JUAN DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70811-4127
Country	:	US
Telephone Number	:	225-287-6748
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	10/27/2020

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Directions to “ SONIA L ALLISON ” Practice Location

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