| Neurosleep Center Pllc | |
|
4190 24th Ave Suite 210 Fort Gratiot MI 48059-3882 | |
| (810) 216-1901 | |
| (810) 216-1701 |
| Full Name | Neurosleep Center Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4190 24th Ave, Fort Gratiot, Michigan |
| Authorized Official Name and Position | Omar A Turk (OWNER) |
| Authorized Official Contact | 8102161901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurosleep Center Pllc 4190 24th Ave, Ste # 210 Fort Gratiot MI 48059 Ph: (810) 216-1901 | Neurosleep Center Pllc 4190 24th Ave Suite 210 Fort Gratiot MI 48059-3882 Ph: (810) 216-1901 |
| NPI Number | 1114029030 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 01/11/2017 |
| Medicare PECOS PAC ID | 9739196460 |
|---|---|
| Medicare Enrollment ID | O20060321000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114029030 | NPI | - | NPPES |
| 270H237980 | Other | MI | BCBS OF MI |
| 4850523 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | OT080768 (Michigan) | Primary |
| Provider Name | Omar Amin Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407824634 PECOS PAC ID: 4082621719 Enrollment ID: I20060321000318 |
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