Provider Demographics
NPI:1548205990
Name:SLEEP SOLUTIONS OF BATON ROUGE LLC
Entity Type:Organization
Organization Name:SLEEP SOLUTIONS OF BATON ROUGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING & COLLECTIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JO
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-875-7557
Mailing Address - Street 1:P.O. BOX 699
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-0699
Mailing Address - Country:US
Mailing Address - Phone:985-875-7557
Mailing Address - Fax:985-875-0595
Practice Address - Street 1:11606 SOUTHFORK AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-5235
Practice Address - Country:US
Practice Address - Phone:985-875-7557
Practice Address - Fax:985-875-0595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5DA09Medicare PIN