Organization
CONVERTABATH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE S DINGES (PRESIDENT)
(480) 656-1348
Entity
Organization
Contact information
Practice address
1605 W UNIVERSITY DR, SUITE 109, TEMPE, AZ 85281-3267
(480) 646-1348
(480) 446-7015
Mailing address
1605 W UNIVERSITY DR, SUITE 109, TEMPE, AZ 85281-3267
(480) 646-1348
(480) 446-7015
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
259082
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20096376
STATE RESALE BUSINESS LICENSE
AZ
01
—
259082
ARIZONA REGISTRAR OF CONTRACTORS LICENSE
AZ
Enumeration date
01/27/2011
Last updated
01/27/2011
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