1124347679 NPI number — INTEGRASLEEP LLC

Table of content: (NPI 1124347679)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124347679 NPI number — INTEGRASLEEP LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTEGRASLEEP 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:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124347679
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9104 FALLS OF NEUSE RD
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27615-2493
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-870-8600
Provider Business Mailing Address Fax Number:
919-838-7611

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
935 SHOTWELL RD
Provider Second Line Business Practice Location Address:
SUITE 107
Provider Business Practice Location Address City Name:
CLAYTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27520-5597
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-838-7600
Provider Business Practice Location Address Fax Number:
919-844-2802
Provider Enumeration Date:
05/24/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FEIERSTEIN
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
919-870-8600

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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