Provider Demographics
NPI:1700223617
Name:NEUROLOGY AND SLEEP CARE, PLLC
Entity Type:Organization
Organization Name:NEUROLOGY AND SLEEP CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAGUIB
Authorized Official - Middle Name:I
Authorized Official - Last Name:DEMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-985-9699
Mailing Address - Street 1:1117 STONE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-3525
Mailing Address - Country:US
Mailing Address - Phone:810-985-9699
Mailing Address - Fax:810-985-9694
Practice Address - Street 1:1117 STONE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3525
Practice Address - Country:US
Practice Address - Phone:810-985-9699
Practice Address - Fax:810-985-9694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010768352084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain MedicineGroup - Single Specialty