| Sleep Disorder Associates | |
|
250 Ranck Ave Lancaster PA 17602-2516 | |
| (717) 569-7044 | |
| (717) 431-9684 |
| Full Name | Sleep Disorder Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 Ranck Ave, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Neil S. Kline (CEO) |
| Authorized Official Contact | 7175697044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sleep Disorder Associates 250 Ranck Ave Lancaster PA 17602-2516 Ph: (717) 569-7044 | Sleep Disorder Associates 250 Ranck Ave Lancaster PA 17602-2516 Ph: (717) 569-7044 |
| NPI Number | 1043258841 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 06/15/2012 |
| Medicare PECOS PAC ID | 7911925383 |
|---|---|
| Medicare Enrollment ID | O20051103000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043258841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS-011844 (Pennsylvania) | Primary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Secondary |
| Provider Name | Neil S Kline |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497752166 PECOS PAC ID: 0345278123 Enrollment ID: I20050802001010 |
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