Provider Demographics
NPI:1508879321
Name:CU SLEEP OF CUYAHOGA FALLS
Entity Type:Organization
Organization Name:CU SLEEP OF CUYAHOGA FALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:NOGGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-923-0228
Mailing Address - Street 1:267 PORTAGE TRAIL EXT W
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-3613
Mailing Address - Country:US
Mailing Address - Phone:330-923-0228
Mailing Address - Fax:330-923-1020
Practice Address - Street 1:267 PORTAGE TRAIL EXT W
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-3613
Practice Address - Country:US
Practice Address - Phone:330-923-0228
Practice Address - Fax:330-923-1020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHID03041Medicare PIN