Provider Demographics
NPI:1811256100
Name:MIDWEST SLEEP DOCS, LLC
Entity type:Organization
Organization Name:MIDWEST SLEEP DOCS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-384-5462
Mailing Address - Street 1:8552 CASS ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3570
Mailing Address - Country:US
Mailing Address - Phone:402-384-5462
Mailing Address - Fax:402-390-0899
Practice Address - Street 1:8552 CASS ST
Practice Address - Street 2:SUITE 301
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3570
Practice Address - Country:US
Practice Address - Phone:402-384-5462
Practice Address - Fax:402-390-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE18381207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty