Organization
WESTERN SLEEP MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALAN SCHULTZ RPSGT (OWNER)
(308) 633-3000
Entity
Organization
Contact information
Practice address
2855 10TH ST STE A, GERING, NE 69341-2202
(308) 633-3000
(308) 633-3001
Mailing address
2855 10TH ST STE A, GERING, NE 69341-2202
(308) 633-3000
(308) 633-3001
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026898800
—
NE
Enumeration date
12/06/2006
Last updated
11/30/2022
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