Provider Demographics
NPI:1972873347
Name:WEIRTON SLEEP CORP
Entity type:Organization
Organization Name:WEIRTON SLEEP CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:412-491-1656
Mailing Address - Street 1:3710 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-4129
Mailing Address - Country:US
Mailing Address - Phone:304-224-1230
Mailing Address - Fax:855-812-4368
Practice Address - Street 1:3710 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-4129
Practice Address - Country:US
Practice Address - Phone:304-224-1230
Practice Address - Fax:855-812-4368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic