Provider Demographics
NPI:1053857425
Name:STOCKER, SONYA FAYE
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:FAYE
Last Name:STOCKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SW HARTIGAN STREET
Mailing Address - Street 2:
Mailing Address - City:HOXIE
Mailing Address - State:AR
Mailing Address - Zip Code:72433-1521
Mailing Address - Country:US
Mailing Address - Phone:870-759-1510
Mailing Address - Fax:
Practice Address - Street 1:400 SW HARTIGAN STREET
Practice Address - Street 2:
Practice Address - City:HOXIE
Practice Address - State:AR
Practice Address - Zip Code:72433-1521
Practice Address - Country:US
Practice Address - Phone:870-759-1510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care