Sleep Wellness Southshore, Llc in West Allis - Sleep Disorder Diagnostic
Sleep Wellness Southshore, Llc - NPI 1629137039
Sleep Wellness Southshore, Llc is a Sleep Disorder Diagnostic in West Allis, Wisconsin. Sleep Wellness Southshore, Llc practices all healthcare services and medical treatments related to Sleep Disorder Diagnostic. The NPI Number for Sleep Wellness Southshore, Llc is 1629137039. The last update date is 2008-02-19.
Sleep Wellness Southshore, Llc's current location address is 2356 S 102nd St, West Allis, Wisconsin. You can contact this provider via phone number 4143363000 and fax number 4143361015. The mailing address for Sleep Wellness Southshore, Llc is 2356 S 102nd St, West Allis, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sleep Wellness Southshore, Llc |
|---|---|
| Address | 2356 S 102nd St, West Allis, Wisconsin |
| Phone Number | 4143363000 |
| Fax Number | 4143361015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Baake R Vernon |
| Telephone Number | 4143363000 |
NPI Number Detail
| NPI Number | 1629137039 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2008-02-19 |
Provider Mailing Address Detail
| Address | 2356 S 102nd St |
|---|---|
| City | West Allis |
| State | Wisconsin (WI) |
| Post Code | 532272104 |
| Phone Number | 4143363000 |
| Fax Number | 4143361015 |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Disorder Diagnostic |
|---|---|
| Taxonomy | 261Qs1200X |
|
Definition: Diagnoses and treats sleep disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1600270 | WI | UNITED HEALTHCARE GROUP # | |
| 32890000 | WI | -- | |
| 391801802029 | WI | ANTHEM BLUE CROSS GROUP # | |
| 391801802002 | WI | TRICARE GROUP NUMBER | |
| 391801802029 | WI | COMPCARE GROUP NUMBER | |
| 6758909 | WI | CIGNA SERVICE LINE PIN |
Post Comment/ Review Below
What is the unique identification code assigned to Sleep Wellness Southshore, Llc by the Centers for Medicare & Medicaid Services?
The Sleep Wellness Southshore, Llc has been issued the NPI (National Provider Identifier) 1629137039. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sleep Wellness Southshore, Llc?
The Sleep Wellness Southshore, Llc is physically situated at 2356 S 102Nd St, in the city of West Allis, state of WI, with the postal code 532272104.
What is Sleep Wellness Southshore, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sleep Wellness Southshore, Llc is Sleep Disorder Diagnostic, and the taxonomy classification code that categorizes this area of expertise is 261Qs1200X.
When did Sleep Wellness Southshore, Llc receive its 1629137039 assignment?
The Sleep Wellness Southshore, Llc was assigned its 1629137039 on 2006-12-08, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Sleep Wellness Southshore, Llc last refreshed?
The information related to the Sleep Wellness Southshore, Llc, including its address, specialty, and other relevant details, was last updated on 2008-02-19.