Healthcare Provider Details

I. General information

NPI: 1427398130
Provider Name (Legal Business Name): PCS SLEEP CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2013
Last Update Date: 02/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 AMHERST RD NE SUITE 103
MASSILLON OH
44646-8518
US

IV. Provider business mailing address

830 AMHERST RD NE SUITE 103
MASSILLON OH
44646-8518
US

V. Phone/Fax

Practice location:
  • Phone: 330-294-4440
  • Fax:
Mailing address:
  • Phone: 330-294-4440
  • Fax:

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. INDERJEET SINGH BRAR
Title or Position: PRESIDENT
Credential: MD
Phone: 330-294-4440