Provider Demographics
NPI:1528369766
Name:APEX SLEEP PROFESSIONALS, LLC
Entity Type:Organization
Organization Name:APEX SLEEP PROFESSIONALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TORI
Authorized Official - Middle Name:D
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-247-8811
Mailing Address - Street 1:204 LYNN GARDEN DR
Mailing Address - Street 2:STE:2
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3191
Mailing Address - Country:US
Mailing Address - Phone:423-765-2840
Mailing Address - Fax:423-765-2842
Practice Address - Street 1:204 LYNN GARDEN DR
Practice Address - Street 2:STE:2
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3191
Practice Address - Country:US
Practice Address - Phone:423-765-2840
Practice Address - Fax:423-765-2842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD35140207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty