Healthcare Provider Details

I. General information

NPI: 1346550605
Provider Name (Legal Business Name): SOUND SLEEP CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 10/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13770 FRONTIER CT SUITE 200
BURNSVILLE MN
55337-4810
US

IV. Provider business mailing address

12000 ELM CREEK BLVD N SUITE 360
MAPLE GROVE MN
55369-7073
US

V. Phone/Fax

Practice location:
  • Phone: 952-997-2889
  • Fax: 952-997-2937
Mailing address:
  • Phone: 763-315-4300
  • Fax: 763-657-0077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number6586527
License Number StateMN

VIII. Authorized Official

Name: MS. SHERI ERICKSON
Title or Position: PRESIDENT
Credential:
Phone: 763-315-4300