Provider Demographics
NPI:1437622008
Name:EXCEPTIONAL SLEEP COLORADO SPRINGS LLC
Entity Type:Organization
Organization Name:EXCEPTIONAL SLEEP COLORADO SPRINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOLICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-548-9393
Mailing Address - Street 1:10807 NEW ALLEGIANCE DR STE 465
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3722
Mailing Address - Country:US
Mailing Address - Phone:719-548-9393
Mailing Address - Fax:719-548-9313
Practice Address - Street 1:10807 NEW ALLEGIANCE DR STE 465
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3722
Practice Address - Country:US
Practice Address - Phone:719-548-9393
Practice Address - Fax:719-548-9313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty