Healthcare Provider Details

I. General information

NPI: 1861865099
Provider Name (Legal Business Name): VIRGINIA SLEEP SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2015
Last Update Date: 11/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3543 W BRADDOCK RD E-2
ALEXANDRIA VA
22302-1900
US

IV. Provider business mailing address

3543 W BRADDOCK RD E-2
ALEXANDRIA VA
22302-1900
US

V. Phone/Fax

Practice location:
  • Phone: 703-820-0809
  • Fax:
Mailing address:
  • Phone: 703-820-0809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number05477
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number05477
License Number StateVA

VIII. Authorized Official

Name: DR. DANIEL FRANCIS BABIEC
Title or Position: OWNER
Credential: DMD
Phone: 703-820-0809