Healthcare Provider Details

I. General information

NPI: 1063337491
Provider Name (Legal Business Name): JAMES COLIN SONNER N/A
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 NAMSKAKET RD # 1
ORLEANS MA
02653-3202
US

IV. Provider business mailing address

PO BOX 745
TRURO MA
02666-0745
US

V. Phone/Fax

Practice location:
  • Phone: 774-701-6977
  • Fax:
Mailing address:
  • Phone: 843-364-3652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: