Provider Demographics
NPI:1417648551
Name:TEAM WIERY ENTERPRISES
Entity Type:Organization
Organization Name:TEAM WIERY ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:WIERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-317-7575
Mailing Address - Street 1:8828 COMMERCE LOOP DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-2121
Mailing Address - Country:US
Mailing Address - Phone:513-317-7575
Mailing Address - Fax:
Practice Address - Street 1:8828 COMMERCE LOOP DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-2121
Practice Address - Country:US
Practice Address - Phone:513-317-7575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care