Provider Demographics
NPI:1538743729
Name:SLEEP WELLNESS CLINICS OF AMERICA, PLLC
Entity type:Organization
Organization Name:SLEEP WELLNESS CLINICS OF AMERICA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BIJOY
Authorized Official - Middle Name:E
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-415-1261
Mailing Address - Street 1:1612 WESTGATE CIR STE 210
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-9111
Mailing Address - Country:US
Mailing Address - Phone:615-685-4670
Mailing Address - Fax:
Practice Address - Street 1:1612 WESTGATE CIR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8089
Practice Address - Country:US
Practice Address - Phone:615-685-4670
Practice Address - Fax:833-563-1716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty