| Ashtabula Sleep Medicine Llc | |
|
5005 State Rd Ashtabula OH 44004-6265 | |
| (440) 992-3146 | |
| (440) 998-6932 |
| Full Name | Ashtabula Sleep Medicine Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 5005 State Rd, Ashtabula, Ohio |
| Authorized Official Name and Position | Michael Craig Sivik (GENERAL DENTIST, PRESIDENT, OWNER) |
| Authorized Official Contact | 4409923146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashtabula Sleep Medicine Llc 5005 State Rd Ashtabula OH 44004-6265 Ph: (440) 992-3146 | Ashtabula Sleep Medicine Llc 5005 State Rd Ashtabula OH 44004-6265 Ph: (440) 992-3146 |
| NPI Number | 1093266777 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Medicare PECOS PAC ID | 1951685320 |
|---|---|
| Medicare Enrollment ID | O20170302001281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093266777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30-022904 (Ohio) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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