Restorative Sleep, Llc | |
2727-i N. Mayfair Rd Milwaukee WI 53222-4400 | |
(414) 698-2654 | |
(262) 354-1575 |
Full Name | Restorative Sleep, Llc |
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Speciality | Clinic/Center |
Location | 2727-i N. Mayfair Rd, Milwaukee, Wisconsin |
Authorized Official Name and Position | Catherine Clayton Loomis (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 4146982654 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Restorative Sleep, Llc 2727-i N. Mayfair Rd Milwaukee WI 53222-4400 Ph: (414) 698-2654 | Restorative Sleep, Llc 2727-i N. Mayfair Rd Milwaukee WI 53222-4400 Ph: (414) 698-2654 |
NPI Number | 1417183237 |
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Provider Enumeration Date | 06/08/2009 |
Last Update Date | 10/04/2024 |
Medicare PECOS PAC ID | 8527111665 |
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Medicare Enrollment ID | O20090806000445 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417183237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 2083-057 (Wisconsin) | Primary |
Provider Name | Catherine C Loomis |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255477253 PECOS PAC ID: 4789577677 Enrollment ID: I20090806000437 |
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