Provider Demographics
NPI:1497922314
Name:SLEEP SOLUTIONS AT DOCERE
Entity Type:Organization
Organization Name:SLEEP SOLUTIONS AT DOCERE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:VISCOMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-846-6963
Mailing Address - Street 1:10633 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-1405
Mailing Address - Country:US
Mailing Address - Phone:440-212-7677
Mailing Address - Fax:440-212-7751
Practice Address - Street 1:10633 PEARL RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-1405
Practice Address - Country:US
Practice Address - Phone:440-212-7677
Practice Address - Fax:440-212-7751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic