1083646178 NPI number — NOCTURNA SLEEP THERAPY LP

Table of content: (NPI 1083646178)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083646178 NPI number — NOCTURNA SLEEP THERAPY LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NOCTURNA SLEEP THERAPY LP
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:
1083646178
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/02/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 248855
Provider Second Line Business Mailing Address:
DEPT # 32
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73124-8855
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-600-1950
Provider Business Mailing Address Fax Number:
405-600-1949

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4755A E 91ST ST
Provider Second Line Business Practice Location Address:
SUITE 120
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74137-2804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-728-3361
Provider Business Practice Location Address Fax Number:
918-551-6085
Provider Enumeration Date:
07/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ZEIDNER
Authorized Official First Name:
LEWIS
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
763-432-8401

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  241767 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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