Provider Demographics
NPI:1144594938
Name:WEIM,LLC
Entity Type:Organization
Organization Name:WEIM,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:AMMON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:216-952-1490
Mailing Address - Street 1:14837 DETROIT AVE
Mailing Address - Street 2:307
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3909
Mailing Address - Country:US
Mailing Address - Phone:216-952-1490
Mailing Address - Fax:
Practice Address - Street 1:14837 DETROIT AVE
Practice Address - Street 2:307
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3909
Practice Address - Country:US
Practice Address - Phone:216-952-1490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2079679332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies