Provider Demographics
NPI:1205209335
Name:WEALCAN LLC
Entity Type:Organization
Organization Name:WEALCAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KHALIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELGHARSI
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:913-297-3066
Mailing Address - Street 1:PO BOX 25214
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66225-5214
Mailing Address - Country:US
Mailing Address - Phone:913-297-3066
Mailing Address - Fax:913-297-3067
Practice Address - Street 1:1612 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-3442
Practice Address - Country:US
Practice Address - Phone:913-297-3066
Practice Address - Fax:913-297-3067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier