Provider Demographics
NPI:1225739253
Name:QUAD CITY SLEEP COMPANY PC
Entity Type:Organization
Organization Name:QUAD CITY SLEEP COMPANY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEATTIE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:563-386-6910
Mailing Address - Street 1:1544 W KIMBERLY RD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-5529
Mailing Address - Country:US
Mailing Address - Phone:563-386-6910
Mailing Address - Fax:563-386-6967
Practice Address - Street 1:1544 W KIMBERLY RD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-5529
Practice Address - Country:US
Practice Address - Phone:563-386-6910
Practice Address - Fax:563-386-6967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies