Provider Demographics
NPI:1023487683
Name:DSM SLEEP LLC
Entity type:Organization
Organization Name:DSM SLEEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MELISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:COAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-850-1037
Mailing Address - Street 1:2828 104TH ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3813
Mailing Address - Country:US
Mailing Address - Phone:515-850-1037
Mailing Address - Fax:
Practice Address - Street 1:2828 104TH ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3813
Practice Address - Country:US
Practice Address - Phone:515-850-1037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2016-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies