Provider Demographics
NPI:1619066073
Name:WASHOE SLEEP DISORDER CTR
Entity type:Organization
Organization Name:WASHOE SLEEP DISORDER CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:TORCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-329-4060
Mailing Address - Street 1:75 PRINGLE WAY
Mailing Address - Street 2:STE 701
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502
Mailing Address - Country:US
Mailing Address - Phone:775-329-4060
Mailing Address - Fax:775-329-2715
Practice Address - Street 1:75 PRINGLE WAY
Practice Address - Street 2:STE 701
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502
Practice Address - Country:US
Practice Address - Phone:775-329-4060
Practice Address - Fax:775-329-2715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV 39022084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C96649Medicare UPIN
WQBCG01Medicare ID - Type Unspecified