Provider Demographics
NPI:1033765029
Name:LEVATA SLEEP PC
Entity Type:Organization
Organization Name:LEVATA SLEEP PC
Other - Org Name:LEVATA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANJA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOFFSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:906-242-2443
Mailing Address - Street 1:304 STATE HIGHWAY M553
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-9422
Mailing Address - Country:US
Mailing Address - Phone:906-242-2443
Mailing Address - Fax:906-249-5211
Practice Address - Street 1:304 STATE HIGHWAY M553
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-9422
Practice Address - Country:US
Practice Address - Phone:906-242-2443
Practice Address - Fax:906-249-5211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty