Provider Demographics
NPI:1679682272
Name:POSITIVE SLEEP SOLUTIONS LLC
Entity Type:Organization
Organization Name:POSITIVE SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:I
Authorized Official - Last Name:SHAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:419-292-1616
Mailing Address - Street 1:3450 W CENTRAL AVE
Mailing Address - Street 2:SUITE 118
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1416
Mailing Address - Country:US
Mailing Address - Phone:419-276-7190
Mailing Address - Fax:419-535-9217
Practice Address - Street 1:3450 W CENTRAL AVE
Practice Address - Street 2:SUITE 118
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1416
Practice Address - Country:US
Practice Address - Phone:419-535-9282
Practice Address - Fax:419-535-9217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV=========OtherTRICARE
OH5856590001Medicare NSC