Provider Demographics
NPI:1467994913
Name:SIOUXLAND SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:SIOUXLAND SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:RHEA BOHNENKAMP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:712-546-5183
Mailing Address - Street 1:1311 HAWKEYE AVE SW
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-1866
Mailing Address - Country:US
Mailing Address - Phone:712-546-5183
Mailing Address - Fax:
Practice Address - Street 1:1311 HAWKEYE AVE SW
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-1866
Practice Address - Country:US
Practice Address - Phone:712-546-5183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment