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NEUROSLEEP CENTER PLLC NPI 1114029030


NPI Information

NPI: 1114029030
Provider Name: NEUROSLEEP CENTER PLLC
Classification: Psychiatry & Neurology - 2084S0012X
Entity Type: Organization

Specialization: Sleep Medicine

CLIA Number: 23D2128016

Address:
4190 24TH AVE
SUITE 210
FORT GRATIOT, MI
ZIP 48059
Phone: (810) 216-1901
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NEUROSLEEP CENTER PLLC is a sleep medicine psychiatry neurology in Fort Gratiot, MI. The provider is a Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. NEUROSLEEP CENTER PLLC NPI is 1114029030. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4190 24TH AVE
SUITE 210
FORT GRATIOT, MI
ZIP 48059-882
Phone: (810) 216-1901
Fax: (810) 216-1701

The provider's authorized official is Omar A Turk .
The authorized official title is Owner and has the following contact phone number (810) 216-1901.

The CLIA number assigned to this NPI record is 23D2128016 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 1/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084S0012XPsychiatry & NeurologySleep MedicineOT080768MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I50684MEDICARE UPINMICHIGAN
20P29430MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE
3270H237980OTHERMICHIGANBCBS OF MI
44850523MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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