Sophos Georgio Geroulis in Green Bay - Sleep Medicine
Sophos Georgio Geroulis - NPI 1295820637
Sophos Georgio Geroulis is a Sleep Medicine in Green Bay, Wisconsin. Sophos Georgio Geroulis practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Sophos Georgio Geroulis is 1295820637. The last update date is 2017-12-28.
Sophos Georgio Geroulis's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Sophos Georgio Geroulis is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sophos Georgio Geroulis |
|---|---|
| Address | Po Box 19070, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1295820637 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2017-12-28 |
Provider Mailing Address Detail
| Address | Po Box 19070 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543079070 |
| Phone Number | 9204964700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 2084S0012X |
| Licence No | 49566-020 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1295820637 | WI | -- | |
| 27-5013474 | WI | NEUROQUEST, LLC |
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What is the Sophos Georgio Geroulis's unique identification number?
The Sophos Georgio Geroulis has been assigned the NPI (National Provider Identifier) Number 1295820637 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Sophos Georgio Geroulis is located?
The Sophos Georgio Geroulis is situated at the following address: Po Box 19070, Green Bay, WI, 543079070.
What is the Sophos Georgio Geroulis's specialty and taxonomy code?
The Sophos Georgio Geroulis's specialty is Sleep Medicine, and the corresponding taxonomy code is 2084S0012X.
On what date was the 1295820637 assigned to Sophos Georgio Geroulis?
The Sophos Georgio Geroulis was issued its 1295820637 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Sophos Georgio Geroulis most recently updated?
The details pertaining to the Sophos Georgio Geroulis, including its address, specialty, and other relevant information, were last refreshed on 2017-12-28.
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