Healthcare Provider Details
I. General information
NPI: 1396934741
Provider Name (Legal Business Name): SLEEP APNEA CONNECTION L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/22/2007
Last Update Date: 12/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
414 W BAKERVIEW RD SUITE 111
BELLINGHAM WA
98226-8106
US
IV. Provider business mailing address
414 W BAKERVIEW RD SUITE 111
BELLINGHAM WA
98226-8106
US
V. Phone/Fax
- Phone: 360-354-8282
- Fax: 360-354-0600
- Phone: 360-354-8282
- Fax: 360-354-0600
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | LR00002796 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | LR00002796 |
| License Number State | WA |
VIII. Authorized Official
Name: MR.
KEVIN
D
BARROW
Title or Position: RESPIRATORY THERAPIST - OWNER
Credential: RRT-NPS
Phone: 360-223-1720