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NPI Code Detail

MEDICARE: MR. IAN ROBERT SONAFELT

MEDICARE: MR. IAN ROBERT SONAFELT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1952832966
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. IAN ROBERT SONAFELT
Provider Business Mailing Address
First Line : 200 N 7TH ST
Second Line :
City : LEBANON
State : PA
Zip : 17046-5040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 W PHILADELPHIA ST
Second Line :
City : YORK
State : PA
Zip : 17401-2941
Country : US
Telephone Number : 717-848-6116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2017
Last Update Date : 12/11/2019

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Directions to “ MR. IAN ROBERT SONAFELT ” Practice Location

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