Organization
SLEEP DISORDER INSTITUTE OF NORTHWEST INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL L ABBOTT (ADMINISTRATOR)
(219) 263-7255
Entity
Organization
Contact information
Practice address
6040 LUTE RD, SUITE A, PORTAGE, IN 46368-5008
(219) 764-4567
(219) 764-4566
Mailing address
6040 LUTE RD, SUITE A, PORTAGE, IN 46368-5008
(219) 764-4567
(219) 764-4566
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
2005040400231
IN
Other
Enumeration date
05/23/2006
Last updated
07/13/2007
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