=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932203080
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SYLVIA R SONNENSCHEIN DO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/11/2006
-----------------------------------------------------
Last Update Date | 06/26/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 53-3925 AKONI PULE HWY KOHALA FAMILY HEALTH CENTER
-----------------------------------------------------
City | KAPAAU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96755
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-889-6236
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 45-549 PLUMERIA ST HAMAKUA HEALTH CENTER INC
-----------------------------------------------------
City | HONOKAA
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96727-6902
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-775-7204
-----------------------------------------------------
Fax | 808-775-9858
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | DOS596
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------