MEDICARE: NEUROLOGY AND SLEEP SCIENCES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851329387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGY AND SLEEP SCIENCES, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 2547
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47202-2547
Country	:	US
Telephone Number	:	812-376-3100
Fax Number	:	812-378-6191

Provider Business Practice Location Address
First Line	:	1655 N GLADSTONE AVE
Second Line	:	SUITE C
City	:	COLUMBUS
State	:	IN
Zip	:	47201-5380
Country	:	US
Telephone Number	:	812-376-3100
Fax Number	:	812-378-6191

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	JEFFREY C HAGEDORN
Credential	:	M.D.
Telephone Number	:	812-376-3100

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	05/28/2010

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