Provider Demographics
NPI:1083863070
Name:TROY SLEEP CENTER, PLC
Entity Type:Organization
Organization Name:TROY SLEEP CENTER, PLC
Other - Org Name:TROY SLEEP CENTER & AAIRS CLINICS
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSETTE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CORNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-689-1000
Mailing Address - Street 1:1500 W BIG BEAVER RD STE 107
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-3522
Mailing Address - Country:US
Mailing Address - Phone:248-689-1000
Mailing Address - Fax:248-689-5711
Practice Address - Street 1:1500 W BIG BEAVER RD STE 107
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3522
Practice Address - Country:US
Practice Address - Phone:248-689-1000
Practice Address - Fax:248-689-5711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301081520261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MII66083Medicare UPIN