Provider Demographics
NPI:1891941415
Name:THE WW GROUP, INC.
Entity Type:Organization
Organization Name:THE WW GROUP, INC.
Other - Org Name:WEIGHT WATCHERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROZGOLD
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:248-479-1354
Mailing Address - Street 1:28555 ORCHARD LAKE RD
Mailing Address - Street 2:PO BOX 9072
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2973
Mailing Address - Country:US
Mailing Address - Phone:248-553-8555
Mailing Address - Fax:248-553-7106
Practice Address - Street 1:28555 ORCHARD LAKE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2973
Practice Address - Country:US
Practice Address - Phone:248-553-8555
Practice Address - Fax:248-553-7106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F30011OtherB/C PROVIDER ID NUMBER