Provider Demographics
NPI:1710342738
Name:W-T SERVICES INC.
Entity Type:Organization
Organization Name:W-T SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MONTRESE
Authorized Official - Last Name:DEW
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:618-671-2515
Mailing Address - Street 1:1922 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:EAST SAINT LOUIS
Mailing Address - State:IL
Mailing Address - Zip Code:62205-1807
Mailing Address - Country:US
Mailing Address - Phone:618-671-2515
Mailing Address - Fax:618-215-0908
Practice Address - Street 1:1922 OHIO AVE
Practice Address - Street 2:
Practice Address - City:EAST SAINT LOUIS
Practice Address - State:IL
Practice Address - Zip Code:62205-1807
Practice Address - Country:US
Practice Address - Phone:618-671-2515
Practice Address - Fax:618-215-0908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies