Provider Demographics
NPI:1811921158
Name:KESWICK SLEEP INSTITUTE
Entity type:Organization
Organization Name:KESWICK SLEEP INSTITUTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CRALLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:434-872-0222
Mailing Address - Street 1:154 HANSEN RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8839
Mailing Address - Country:US
Mailing Address - Phone:434-872-0222
Mailing Address - Fax:434-872-0223
Practice Address - Street 1:154 HANSEN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8839
Practice Address - Country:US
Practice Address - Phone:434-872-0222
Practice Address - Fax:434-872-0223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic