Provider Demographics
NPI:1083646178
Name:NOCTURNA SLEEP THERAPY LP
Entity Type:Organization
Organization Name:NOCTURNA SLEEP THERAPY LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:ZEIDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-432-8401
Mailing Address - Street 1:PO BOX 248855
Mailing Address - Street 2:DEPT # 32
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73124-8855
Mailing Address - Country:US
Mailing Address - Phone:405-600-1950
Mailing Address - Fax:405-600-1949
Practice Address - Street 1:4755A E 91ST ST
Practice Address - Street 2:SUITE 120
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-2804
Practice Address - Country:US
Practice Address - Phone:918-728-3361
Practice Address - Fax:918-551-6085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK241767332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4569850004Medicare NSC