Creekside Sleep Medicine Center Pllc in Bellevue - Sleep Disorder Diagnostic

Creekside Sleep Medicine Center Pllc - NPI 1184841256

Creekside Sleep Medicine Center Pllc is a Sleep Disorder Diagnostic in Bellevue, Washington. Creekside Sleep Medicine Center Pllc practices all healthcare services and medical treatments related to Sleep Disorder Diagnostic. The NPI Number for Creekside Sleep Medicine Center Pllc is 1184841256. The last update date is 2012-12-13.

Creekside Sleep Medicine Center Pllc's current location address is 1380 112th Ave Ne, Bellevue, Washington. You can contact this provider via phone number 4252782250 and fax number 4255625885. The mailing address for Creekside Sleep Medicine Center Pllc is 1380 112th Ave Ne, Bellevue, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Creekside Sleep Medicine Center Pllc
Address 1380 112th Ave Ne, Bellevue, Washington
Phone Number 4252782250
Fax Number 4255625885
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Jacobs E. Teresa
Credentials M.D.
Telephone Number 4252782250

NPI Number Detail

NPI Number 1184841256
Provider Enumeration Date 2007-04-19
Last Updated Date 2012-12-13

Provider Mailing Address Detail

Address 1380 112th Ave Ne
City Bellevue
State Washington (WA)
Post Code 980043759
Phone Number 4252782250
Fax Number 4255625885

Provider's Primary Taxonomy Detail

Speciality Sleep Disorder Diagnostic
Taxonomy 261Qs1200X
Licence No 602620178
Definition:
Diagnoses and treats sleep disorders.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
602620178 WA UBI

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FAQs about Creekside Sleep Medicine Center Pllc

What is the Creekside Sleep Medicine Center Pllc's unique identification number?

The Creekside Sleep Medicine Center Pllc has been assigned the NPI (National Provider Identifier) Number 1184841256 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Creekside Sleep Medicine Center Pllc's physical address?

The Creekside Sleep Medicine Center Pllc is physically located at 1380 112Th Ave Ne, in the city of Bellevue, WA, with the postal code 980043759.

What is the Creekside Sleep Medicine Center Pllc's specialty and taxonomy code?

The Creekside Sleep Medicine Center Pllc's specialty is Sleep Disorder Diagnostic, and the corresponding taxonomy code is 261Qs1200X.

When did the Creekside Sleep Medicine Center Pllc receive its 1184841256?

The Creekside Sleep Medicine Center Pllc was issued its 1184841256 on 2007-04-19, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Creekside Sleep Medicine Center Pllc most recently updated or revised?

The information pertaining to Creekside Sleep Medicine Center Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-13.

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