Provider Demographics
NPI:1457761884
Name:HEPFREE2, LLC
Entity Type:Organization
Organization Name:HEPFREE2, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHER
Authorized Official - Middle Name:
Authorized Official - Last Name:STRUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-815-2437
Mailing Address - Street 1:2616 E COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-1312
Mailing Address - Country:US
Mailing Address - Phone:801-815-2437
Mailing Address - Fax:844-437-3733
Practice Address - Street 1:6671 S REDWOOD RD STE 110
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84084-7491
Practice Address - Country:US
Practice Address - Phone:801-815-2437
Practice Address - Fax:844-437-3733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty