Provider Demographics
NPI:1659305845
Name:SEACOAST SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:SEACOAST SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:ENZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:207-439-4706
Mailing Address - Street 1:1 ROUTE 236
Mailing Address - Street 2:
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-5528
Mailing Address - Country:US
Mailing Address - Phone:207-439-4706
Mailing Address - Fax:207-439-4793
Practice Address - Street 1:1 ROUTE 236
Practice Address - Street 2:
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-5528
Practice Address - Country:US
Practice Address - Phone:207-439-4706
Practice Address - Fax:207-439-4793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1659305845OtherAETNA
ME1659305845OtherHARVARD PILGRIM
ME1659305845OtherMEDICARE ADVANTAGE PLAN
NH12Y008519ME01OtherANTHEM
ME431787200Medicaid
ME30765245OtherNEW HAMPSHIRE MEDICAID
NH30765245Medicaid
ME12Z048468ME01OtherANTHEM
ME1659305845OtherFIRST HEALTH NETWORK
ME1659305845OtherUNITED HEALTH CARE
ME1659305845OtherAETNA
ME1659305845OtherFIRST HEALTH NETWORK
ME=========OtherMAIL HANDLERS
NH12Y008519ME01OtherANTHEM
ME1659305845OtherUNITED HEALTH CARE
ME1659305845OtherMEDICARE ADVANTAGE PLAN
ME=========OtherMARTINS POINT HEALTHCARE
ME30765245OtherNEW HAMPSHIRE MEDICAID
ME=========OtherPATRIOT HEALTH
NH30765245Medicaid