Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
EEG |
2472E0500X | 75 | Slide Preparation Facility |
| NPI # | 1801185954 |
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| LBN Legal business name | INTEGRATED SLEEP CONSULTING | ||||
| Authorized official | ROBERT HUMMEL - (PRINCIPLE PARTNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/29/2011 | ||||
| Last updated | 03/29/2011 - About 15 years ago | ||||
| Identifiers |
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