Provider Demographics
NPI:1801185954
Name:INTEGRATED SLEEP CONSULTING
Entity Type:Organization
Organization Name:INTEGRATED SLEEP CONSULTING
Other - Org Name:INTEGRATED SLEEP SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRINCIPLE PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:HUMMEL
Authorized Official - Suffix:III
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:406-945-2071
Mailing Address - Street 1:3100 TIBER RD.
Mailing Address - Street 2:PO BOX 82
Mailing Address - City:CHESTER
Mailing Address - State:MT
Mailing Address - Zip Code:59522
Mailing Address - Country:US
Mailing Address - Phone:406-945-2071
Mailing Address - Fax:
Practice Address - Street 1:3100 TIBER RD.
Practice Address - Street 2:SUITE 82
Practice Address - City:CHESTER
Practice Address - State:MT
Practice Address - Zip Code:59522
Practice Address - Country:US
Practice Address - Phone:406-945-2071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT15392472E0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEGGroup - Single Specialty