Healthcare Provider Details

I. General information

NPI: 1356571640
Provider Name (Legal Business Name): EPOCH SLEEP CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 02/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3379 PITTSBURGH ROAD. SUITE 109
PERRYOPOLIS PA
15473-1013
US

IV. Provider business mailing address

P.O. BOX 600 3379 PITTSBURGH ROAD SUITE 109
PERRYOPOLIS PA
15473-1013
US

V. Phone/Fax

Practice location:
  • Phone: 724-736-0160
  • Fax: 724-736-0163
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ANN MARIE MCKNIGHT
Title or Position: OWNER
Credential: RPSGT
Phone: 724-350-7315