Provider Demographics
NPI:1619174208
Name:SLEEP SOLUTIONS OF NEW IBERIA, LLC
Entity Type:Organization
Organization Name:SLEEP SOLUTIONS OF NEW IBERIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:HALES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:337-364-8500
Mailing Address - Street 1:2309 EAST MAIN STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-0000
Mailing Address - Country:US
Mailing Address - Phone:337-364-8500
Mailing Address - Fax:337-364-8582
Practice Address - Street 1:1100 ANDRE ST STE 200B
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70563
Practice Address - Country:US
Practice Address - Phone:337-606-0041
Practice Address - Fax:337-606-0047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========OtherTIN
LA=========OtherTIN