Provider Demographics
NPI:1497833677
Name:THE HEALTH & WELLNESS SLEEP INSTITUTE OF POCATELLO,LLC
Entity Type:Organization
Organization Name:THE HEALTH & WELLNESS SLEEP INSTITUTE OF POCATELLO,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHERR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-233-9355
Mailing Address - Street 1:1553 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-4166
Mailing Address - Country:US
Mailing Address - Phone:208-233-9355
Mailing Address - Fax:208-233-9300
Practice Address - Street 1:1553 E CENTER ST
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-4166
Practice Address - Country:US
Practice Address - Phone:208-233-9355
Practice Address - Fax:208-233-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM7579174400000X
IDNP252A363L00000X
IDNP367A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty