Healthcare Provider Details
I. General information
NPI: 1275791576
Provider Name (Legal Business Name): TOTAL SLEEP HOLDINGS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2008
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5330 N OAK TRFY STE 202
KANSAS CITY MO
64118-4625
US
IV. Provider business mailing address
5330 N OAK TRFY STE 202
KANSAS CITY MO
64118-4625
US
V. Phone/Fax
- Phone: 913-393-0466
- Fax: 913-393-0717
- Phone: 913-393-0466
- Fax: 913-393-0717
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
J
GUIDETTI
Title or Position: CEO
Credential:
Phone: 469-499-2857