1033441209 NPI number — DELAWARE SLEEP DISORDER CENTERS, LLC

Table of content: DR. GERARD RONEL AIME M.D. (NPI 1740395359)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033441209 NPI number — DELAWARE SLEEP DISORDER CENTERS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DELAWARE SLEEP DISORDER CENTERS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1033441209
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 FOULK RD
Provider Second Line Business Mailing Address:
SUITE 1G
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19803-3733
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5311 LIMESTONE RD
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19808-1246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
887-335-7533
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ROBINSON
Authorized Official First Name:
LYNN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF ADMINISTRATIVE SERVICES
Authorized Official Telephone Number:
302-239-2449

Provider Taxonomy Codes

  • Taxonomy code: 173F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)