Provider Demographics
NPI:1518408343
Name:THREELOVEBUGS, LLC
Entity Type:Organization
Organization Name:THREELOVEBUGS, LLC
Other - Org Name:LICE CLINICS OF AMERICA FT. WAYNE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNDRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-345-0511
Mailing Address - Street 1:5760 E FALL CREEK PARKWAY NORTH DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-1016
Mailing Address - Country:US
Mailing Address - Phone:317-345-0511
Mailing Address - Fax:
Practice Address - Street 1:7317 W JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-6237
Practice Address - Country:US
Practice Address - Phone:260-416-2880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty