Healthcare Provider Details

I. General information

NPI: 1467466748
Provider Name (Legal Business Name): VS SONI CHARTERED PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 09/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9064 US HIGHWAY 60 W
STURGIS KY
42459
US

IV. Provider business mailing address

9064 US HIGHWAY 60 W
STURGIS KY
42459
US

V. Phone/Fax

Practice location:
  • Phone: 270-333-4349
  • Fax:
Mailing address:
  • Phone: 270-333-4349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VINOD S SONI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 270-333-4349