Provider Demographics
NPI:1003296161
Name:GIDDY YOYO INC
Entity Type:Organization
Organization Name:GIDDY YOYO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGITTE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LONGSHORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:519-939-8858
Mailing Address - Street 1:9-75 FIRST STREET
Mailing Address - Street 2:
Mailing Address - City:ORANGEVILLE
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L9W5B6
Mailing Address - Country:CA
Mailing Address - Phone:519-940-3869
Mailing Address - Fax:844-443-9696
Practice Address - Street 1:9-75 FIRST STREET
Practice Address - Street 2:
Practice Address - City:ORANGEVILLE
Practice Address - State:ONTARIO
Practice Address - Zip Code:L9W5B6
Practice Address - Country:CA
Practice Address - Phone:519-940-3869
Practice Address - Fax:844-443-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty