Provider Demographics
NPI:1790309326
Name:WEIKER, STEVE
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:WEIKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 KENNY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2478
Mailing Address - Country:US
Mailing Address - Phone:614-629-8060
Mailing Address - Fax:
Practice Address - Street 1:2939 KENNY RD STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2478
Practice Address - Country:US
Practice Address - Phone:614-629-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information