Healthcare Provider Details

I. General information

NPI: 1972958585
Provider Name (Legal Business Name): SLEEP BETTER COLUMBUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 05/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 S VIRGINIALEE RD
COLUMBUS OH
43209-2074
US

IV. Provider business mailing address

317 S VIRGINIALEE RD
COLUMBUS OH
43209-2074
US

V. Phone/Fax

Practice location:
  • Phone: 614-354-8873
  • Fax:
Mailing address:
  • Phone: 614-354-8873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number30016150
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30016150
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number35069738
License Number StateOH

VIII. Authorized Official

Name: CYNTHIA S LEVY
Title or Position: CEO
Credential:
Phone: 614-354-8873