Organization
THE SLEEP WELLNESS INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON R BAAKE (CEO)
(414) 336-3000
Entity
Organization
Contact information
Practice address
2400 S 102ND ST STE 102, WEST ALLIS, WI 53227-2132
(414) 336-3000
(414) 336-1015
Mailing address
2400 S 102ND ST STE 102, WEST ALLIS, WI 53227-2132
(414) 336-3000
(414) 336-1015
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110004519
WEA GROUP NUMBER
—
01
—
1140390002
NPI DME
—
01
—
1144380577
NPI DR HARDEN
—
01
—
1255505848
NPI DR COTTRELL
—
01
—
1275694291
NPI DR KUMAR
—
01
—
1336182237
NPI DR LEO
—
01
—
1528247301
RAILROAD GROUP NPI
—
01
—
1600270
UNITED HEALTHCARE GROUP #
—
01
—
1780820332
NPI DEBORAH REED
—
01
—
1811924343
NPI DR DAVOODI
—
01
—
1912981796
NPI DR JACOBSON
—
01
—
21946
PHCS GROUP #
—
05
—
30024600
—
WI
05
—
31557000
—
WI
05
—
32890000
—
WI
05
—
43734900
—
WI
05
—
43819900
—
WI
01
—
470000838
RAILROAD MEDICARE GROUP #
—
01
—
6758909
'CIGNA GROUP #
—
Enumeration date
10/30/2007
Last updated
06/21/2021
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