Healthcare Provider Details

I. General information

NPI: 1932203080
Provider Name (Legal Business Name): SYLVIA R SONNENSCHEIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 06/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53-3925 AKONI PULE HWY KOHALA FAMILY HEALTH CENTER
KAPAAU HI
96755
US

IV. Provider business mailing address

45-549 PLUMERIA ST HAMAKUA HEALTH CENTER INC
HONOKAA HI
96727-6902
US

V. Phone/Fax

Practice location:
  • Phone: 808-889-6236
  • Fax:
Mailing address:
  • Phone: 808-775-7204
  • Fax: 808-775-9858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDOS596
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: