Healthcare Provider Details

I. General information

NPI: 1225331978
Provider Name (Legal Business Name): SONNO ANESTHESIA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2010
Last Update Date: 12/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 22ND AVE
KEARNEY NE
68845-2206
US

IV. Provider business mailing address

6420 56TH AVE
KEARNEY NE
68845-0380
US

V. Phone/Fax

Practice location:
  • Phone: 308-455-3600
  • Fax:
Mailing address:
  • Phone: 308-224-2062
  • Fax: 888-974-5962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MERLIN WEHLING
Title or Position: PRESIDENT
Credential: M.D.
Phone: 308-627-7528