Provider Demographics
NPI:1962898882
Name:SOMNEXUS
Entity type:Organization
Organization Name:SOMNEXUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:HERALD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-759-4941
Mailing Address - Street 1:394 LEDGE RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-7237
Mailing Address - Country:US
Mailing Address - Phone:440-759-4941
Mailing Address - Fax:
Practice Address - Street 1:394 LEDGE RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-7237
Practice Address - Country:US
Practice Address - Phone:440-759-4941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies