Healthcare Provider Details

I. General information

NPI: 1780915017
Provider Name (Legal Business Name): DELAWARE SLEEP DISORDER CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2010
Last Update Date: 10/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 CHAPMAN RD STE 202
NEWARK DE
19702-5428
US

IV. Provider business mailing address

252 CARTER DRIVE SUITE 200
MIDDLETOWN DE
19709-5806
US

V. Phone/Fax

Practice location:
  • Phone: 877-335-7533
  • Fax:
Mailing address:
  • Phone: 877-335-7533
  • Fax: 302-376-8524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number StateDE

VIII. Authorized Official

Name: LYRON DEPUTY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: APN
Phone: 302-449-7484