Provider Demographics
NPI:1316172216
Name:SLEEP CENTER OF FREMONT, LLC.
Entity type:Organization
Organization Name:SLEEP CENTER OF FREMONT, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SEITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-727-7768
Mailing Address - Street 1:300 E 23RD ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-2302
Mailing Address - Country:US
Mailing Address - Phone:402-727-7768
Mailing Address - Fax:402-727-1864
Practice Address - Street 1:300 E 23RD ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2302
Practice Address - Country:US
Practice Address - Phone:402-727-7768
Practice Address - Fax:402-727-1864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic