Healthcare Provider Details

I. General information

NPI: 1265452049
Provider Name (Legal Business Name): O2 SLEEP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5042 THOROUGHBRED LN SUITE A
BRENTWOOD TN
37027-4232
US

IV. Provider business mailing address

PO BOX 482
CORDOVA TN
38088-0482
US

V. Phone/Fax

Practice location:
  • Phone: 615-377-9892
  • Fax: 615-377-3212
Mailing address:
  • Phone: 901-526-0202
  • Fax: 901-526-0300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number888
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number888
License Number StateTN

VIII. Authorized Official

Name: MR. WILLIAM R. GUTKNECHT
Title or Position: PRESIDENT
Credential:
Phone: 901-553-1909