Provider Demographics
NPI:1407283799
Name:EMERYS CYCLERY, INC
Entity Type:Organization
Organization Name:EMERYS CYCLERY, INC
Other - Org Name:EMERYS CYCLING, TRIATHLON & FITNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-463-0770
Mailing Address - Street 1:9929 W LISBON AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-2408
Mailing Address - Country:US
Mailing Address - Phone:414-463-0770
Mailing Address - Fax:414-463-3710
Practice Address - Street 1:9929 W LISBON AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-2408
Practice Address - Country:US
Practice Address - Phone:414-463-0770
Practice Address - Fax:414-463-3710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies