Provider Demographics
NPI:1649536848
Name:BIG KIDZ LLC
Entity type:Organization
Organization Name:BIG KIDZ LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHCRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-390-7056
Mailing Address - Street 1:10155 E VIA LINDA STE H136
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5329
Mailing Address - Country:US
Mailing Address - Phone:480-553-8993
Mailing Address - Fax:480-767-1845
Practice Address - Street 1:10155 E VIA LINDA STE H136
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5329
Practice Address - Country:US
Practice Address - Phone:480-553-8993
Practice Address - Fax:480-767-1845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty