Provider Demographics
NPI:1205456480
Name:NEOSLEEP, LLC
Entity type:Organization
Organization Name:NEOSLEEP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHIMOSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-863-7301
Mailing Address - Street 1:2255 HILLSDALE CIR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-5621
Mailing Address - Country:US
Mailing Address - Phone:505-307-8678
Mailing Address - Fax:
Practice Address - Street 1:3601 ARAPAHOE AVE UNIT D180
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1584
Practice Address - Country:US
Practice Address - Phone:720-845-5858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Single Specialty