Provider Demographics
NPI:1710301536
Name:WASHOE SLEEP DISORER CENTER
Entity Type:Organization
Organization Name:WASHOE SLEEP DISORER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFFI CE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LENHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-329-4060
Mailing Address - Street 1:75 PRINGLE WAY STE 701
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1472
Mailing Address - Country:US
Mailing Address - Phone:775-329-4060
Mailing Address - Fax:775-329-2715
Practice Address - Street 1:75 PRINGLE WAY STE 701
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1472
Practice Address - Country:US
Practice Address - Phone:775-329-4060
Practice Address - Fax:775-329-2715
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEURODEVELOPMENTAL AND NEURODIAGNOSTIC CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV03902174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty