Healthcare Provider Details
I. General information
NPI: 1477742211
Provider Name (Legal Business Name): DENNIS SONNIER JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/17/2007
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2429
US
IV. Provider business mailing address
1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2429
US
V. Phone/Fax
- Phone: 504-842-5161
- Fax: 504-842-5746
- Phone: 504-842-5044
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 57013043 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 204F00000X |
| Taxonomy | Transplant Surgery Physician |
| License Number | 303441 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: