Summit Sleep Disorder Center, Pa in Winston Salem - Sleep Medicine
Summit Sleep Disorder Center, Pa - NPI 1205968963
Summit Sleep Disorder Center, Pa is a Sleep Medicine in Winston Salem, North Carolina. Summit Sleep Disorder Center, Pa practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Summit Sleep Disorder Center, Pa is 1205968963. The last update date is 2011-12-07.
Summit Sleep Disorder Center, Pa's current location address is 160 Charlois Blvd, Winston Salem, North Carolina. You can contact this provider via phone number 3367685834 and fax number 3367654889. The mailing address for Summit Sleep Disorder Center, Pa is 160 Charlois Blvd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summit Sleep Disorder Center, Pa |
|---|---|
| Address | 160 Charlois Blvd, Winston Salem, North Carolina |
| Phone Number | 3367685834 |
| Fax Number | 3367654889 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Pulliam C Patricia |
| Telephone Number | 3367685834 |
NPI Number Detail
| NPI Number | 1205968963 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2011-12-07 |
Provider Mailing Address Detail
| Address | 160 Charlois Blvd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271031522 |
| Phone Number | 3367685834 |
| Fax Number | 3367654889 |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 2084S0012X |
| Licence No | 19652 |
|
Definition: A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorder |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 210527C | NC | MEDICARE | |
| 1151 | NC | BCBSOFNC | |
| 7901151 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Summit Sleep Disorder Center, Pa?
The Summit Sleep Disorder Center, Pa has been issued the NPI (National Provider Identifier) 1205968963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Summit Sleep Disorder Center, Pa is geographically located?
The Summit Sleep Disorder Center, Pa is physically situated at the following location: 160 Charlois Blvd, Winston Salem, NC, 271031522.
What is the area of specialization for Summit Sleep Disorder Center, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Summit Sleep Disorder Center, Pa is Sleep Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2084S0012X.
On what date did the Summit Sleep Disorder Center, Pa receive the assignment of its 1205968963 from the Centers for Medicare & Medicaid Services?
The Summit Sleep Disorder Center, Pa was issued its 1205968963 by the Centers for Medicare & Medicaid Services on 2007-03-09.
As of what date were the Summit Sleep Disorder Center, Pa's details last updated?
The information pertaining to the Summit Sleep Disorder Center, Pa, including its address, specialty, and other details, was most recently updated on 2011-12-07.