Provider Demographics
NPI:1568754836
Name:ALTERNATIVE SLEEP HEALTH, INC
Entity Type:Organization
Organization Name:ALTERNATIVE SLEEP HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BANJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-854-7250
Mailing Address - Street 1:1409 FRANKLIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-2899
Mailing Address - Country:US
Mailing Address - Phone:360-213-1301
Mailing Address - Fax:360-213-1303
Practice Address - Street 1:1230 MARINE DR
Practice Address - Street 2:SUITE 202
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-4059
Practice Address - Country:US
Practice Address - Phone:503-325-8209
Practice Address - Fax:503-325-8341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies