Provider Demographics
NPI:1780969204
Name:SLEEP DISORDERS MANAGEMENT, LLC
Entity type:Organization
Organization Name:SLEEP DISORDERS MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:302-319-4736
Mailing Address - Street 1:212 ABBOTSFORD DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-9459
Mailing Address - Country:US
Mailing Address - Phone:302-319-4736
Mailing Address - Fax:
Practice Address - Street 1:1521 CONCORD PIKE
Practice Address - Street 2:BRANDYWINE WEST, SUITE #301
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3642
Practice Address - Country:US
Practice Address - Phone:302-319-4736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-15
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0009850207RS0012X, 261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty