Healthcare Provider Details

I. General information

NPI: 1447759766
Provider Name (Legal Business Name): NATIONAL SLEEP SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 02/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 HIGHWAY 431 STE 1A
ROANOKE AL
36274-2648
US

IV. Provider business mailing address

PO BOX 549
ROANOKE AL
36274-0549
US

V. Phone/Fax

Practice location:
  • Phone: 888-884-9493
  • Fax: 888-884-9493
Mailing address:
  • Phone: 888-884-9493
  • Fax: 888-884-9493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HEIDI WARD
Title or Position: ADMINISTRATOR
Credential:
Phone: 888-884-9493