Provider Demographics
NPI:1649746793
Name:IWEARTEC CORPORATION
Entity Type:Organization
Organization Name:IWEARTEC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:LINZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-732-4975
Mailing Address - Street 1:8108 WINGFIELD PL
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22308-1416
Mailing Address - Country:US
Mailing Address - Phone:703-732-4975
Mailing Address - Fax:703-997-4032
Practice Address - Street 1:8108 WINGFIELD PL
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22308-1416
Practice Address - Country:US
Practice Address - Phone:703-732-4975
Practice Address - Fax:703-997-4032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies