Organization · NPI-2

Bear Sleep Center LLC

Clinic/Center, Sleep Disorder Diagnostic · Chesapeake, VA

NPI number1194169284
StatusActive
Last updated in NPPESApr 19, 2013

Details

NPI
1194169284
Entity type
Organization (NPI-2)
Legal business name
Bear Sleep Center LLC
Organization subpart
No
Enumeration date
Apr 19, 2013
Last updated
Apr 19, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic03378VAYes

Practice location

2005 Old Greenbrier Rd
Suite Number 106
Chesapeake, VA 23320-2649

Phone 757-962-8538 · Fax 757-962-8598

Mailing address

2005 Old Greenbrier Rd
Suite Number 106
Chesapeake, VA 23320-2649

Phone 757-962-8538 · Fax 757-962-8598

Authorized official

Kevin Ray Crum
Coo/Managing Owner
7576756400

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