Provider Demographics
NPI:1538636915
Name:SLEEP WELL WEST MICHIGAN
Entity Type:Organization
Organization Name:SLEEP WELL WEST MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGELLIER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:616-532-9003
Mailing Address - Street 1:1621 44TH ST SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49509-4387
Mailing Address - Country:US
Mailing Address - Phone:616-532-9003
Mailing Address - Fax:
Practice Address - Street 1:1621 44TH ST SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49509-4387
Practice Address - Country:US
Practice Address - Phone:616-532-9003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty