1851670749 NPI number — SLEEP CENTER OF COOL SPRINGS, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851670749 NPI number — SLEEP CENTER OF COOL SPRINGS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP CENTER OF COOL SPRINGS, PLLC
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:
1851670749
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/09/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1725 MEDICAL CENTER PKWY
Provider Second Line Business Mailing Address:
SUITE 220
Provider Business Mailing Address City Name:
MURFREESBORO
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37129-2247
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-893-4896
Provider Business Mailing Address Fax Number:
615-893-4821

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3326 ASPEN GROVE DR
Provider Second Line Business Practice Location Address:
SUITE 260
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37067-2837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-942-1393
Provider Business Practice Location Address Fax Number:
615-866-6696
Provider Enumeration Date:
08/09/2011

Additional Information

Authorized Official

Authorized Official Last Name:
SALAZAR
Authorized Official First Name:
CRAIG
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
615-427-4227

Provider Taxonomy Codes

  • Taxonomy code: 207RS0012X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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