Provider Demographics
NPI:1043922495
Name:SCHOOLEY, WESLEY RYAN
Entity Type:Individual
Prefix:MR
First Name:WESLEY
Middle Name:RYAN
Last Name:SCHOOLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 YOUNGSTOWN HUBBARD RD LOT 12
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-2567
Mailing Address - Country:US
Mailing Address - Phone:330-568-4284
Mailing Address - Fax:
Practice Address - Street 1:5925 YOUNGSTOWN HUBBARD RD LOT 12
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-2567
Practice Address - Country:US
Practice Address - Phone:330-219-1701
Practice Address - Fax:330-568-4264
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-16
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty