Healthcare Provider Details

I. General information

NPI: 1013678853
Provider Name (Legal Business Name): NEUROLOGY & SLEEP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 GOODYEAR AVE
GADSDEN AL
35903-1146
US

IV. Provider business mailing address

820 GOODYEAR AVE
GADSDEN AL
35903-1146
US

V. Phone/Fax

Practice location:
  • Phone: 256-492-3571
  • Fax: 256-438-5069
Mailing address:
  • Phone: 256-492-3571
  • Fax: 256-494-5028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: OLGA BOGDANOVA
Title or Position: PROVIDER
Credential:
Phone: 256-492-3571