Provider Demographics
NPI:1629568100
Name:TWEB RESOURCES DBA THE WORLD EGG BANK
Entity Type:Organization
Organization Name:TWEB RESOURCES DBA THE WORLD EGG BANK
Other - Org Name:THE WORLD EGG BANK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:602-430-0172
Mailing Address - Street 1:7227 N 16TH ST STE 160
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020
Mailing Address - Country:US
Mailing Address - Phone:602-678-1906
Mailing Address - Fax:
Practice Address - Street 1:7227 N 16TH ST STE 160
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020
Practice Address - Country:US
Practice Address - Phone:602-678-1906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ53344163WR1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR1000XNursing Service ProvidersRegistered NurseReproductive Endocrinology/InfertilityGroup - Single Specialty