Healthcare Provider Details

I. General information

NPI: 1508118183
Provider Name (Legal Business Name): MIDWEST SLEEP SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2012
Last Update Date: 10/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 JOHN F KENNEDY RD
DUBUQUE IA
52002-3883
US

IV. Provider business mailing address

527 PARK LN STE 400
WATERLOO IA
50702-5236
US

V. Phone/Fax

Practice location:
  • Phone: 563-845-7206
  • Fax: 866-375-7404
Mailing address:
  • Phone: 319-233-2278
  • Fax: 319-233-2280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number StateIA

VIII. Authorized Official

Name: MR. STEPHEN ALLEN ELDER
Title or Position: OWNER/SECRETARY
Credential: RRT
Phone: 319-530-3168