Provider Demographics
NPI:1558771378
Name:H2B2AZ,LLC
Entity Type:Organization
Organization Name:H2B2AZ,LLC
Other - Org Name:DRIP DOCTOR WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEDERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-563-2302
Mailing Address - Street 1:29850 N TATUM BLVD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5867
Mailing Address - Country:US
Mailing Address - Phone:480-562-2302
Mailing Address - Fax:480-946-0901
Practice Address - Street 1:29850 N TATUM BLVD
Practice Address - Street 2:SUITE 114
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-5867
Practice Address - Country:US
Practice Address - Phone:480-562-2302
Practice Address - Fax:480-946-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy