1063960631 NPI number — SLEEP BETTER SPECIALISTS, LLC

Table of content: (NPI 1063960631)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063960631 NPI number — SLEEP BETTER SPECIALISTS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP BETTER SPECIALISTS, 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:
1063960631
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3165 W 4700 S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAYLORSVILLE
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84129-2526
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-966-9956
Provider Business Mailing Address Fax Number:
801-969-7004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3165 W 4700 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAYLORSVILLE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84129-2526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-966-9956
Provider Business Practice Location Address Fax Number:
801-969-7004
Provider Enumeration Date:
09/13/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
COLEMAN
Authorized Official First Name:
CHET
Authorized Official Middle Name:
RAY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
801-966-9956

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  144366 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332B00000X , with the licence number: 144366 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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