Healthcare Provider Details

I. General information

NPI: 1619174208
Provider Name (Legal Business Name): SLEEP SOLUTIONS OF NEW IBERIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 09/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 ANDRE ST STE 200B
NEW IBERIA LA
70563
US

IV. Provider business mailing address

2309 EAST MAIN STREET SUITE 202
NEW IBERIA LA
70560-0000
US

V. Phone/Fax

Practice location:
  • Phone: 337-606-0041
  • Fax: 337-606-0047
Mailing address:
  • Phone: 337-364-8500
  • Fax: 337-364-8582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JAMES D HALES
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 337-364-8500