Provider Demographics
NPI:1447558879
Name:SLEEP DISORDER SERVICES
Entity Type:Organization
Organization Name:SLEEP DISORDER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SWISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-620-6027
Mailing Address - Street 1:28 RESEARCH DR
Mailing Address - Street 2:SUITE M
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1364
Mailing Address - Country:US
Mailing Address - Phone:757-251-2705
Mailing Address - Fax:757-251-2706
Practice Address - Street 1:28 RESEARCH DR
Practice Address - Street 2:SUITE M
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1364
Practice Address - Country:US
Practice Address - Phone:757-251-2705
Practice Address - Fax:757-251-2706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic