Healthcare Provider Details

I. General information

NPI: 1649193525
Provider Name (Legal Business Name): MICHAEL J SONNIER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 PEPPER CREEK DR
SULPHUR LA
70663-6560
US

IV. Provider business mailing address

70 PEPPER CREEK DR
SULPHUR LA
70663-6560
US

V. Phone/Fax

Practice location:
  • Phone: 337-304-5036
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number201637
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: