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Contact Information

MICHIANA REGIONAL SLEEP DISORDERS CENTER P.C.
3902 STONEGATE PARK
SAINT JOSEPH, MI49085-9130
 Phone: 269-983-3690
 Fax: 269-982-5101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
 

Sleep Medicine

2084S0012X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MICHIANA REGIONAL SLEEP DISORDERS CENTER PC · (Female)

NPI # 1841344702
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2007
Last updated 04/23/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301070920
  • MI License # 5101008659
  • MI License # 5101009750
  • MI Other 700A110350 BCBSM CPC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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