Bravadas Wig Design

LBN: Bravadas Fairfax Llc
Bravadas Wig Design is an health care organization with primary practice located at 11204 Lee Hwy Suite A-1, Fairfax VA 22030-5007. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Bravadas Fairfax Llc can be contacted via phone (703) 352-4247, or through Linehan, Kevin B via phone (703) 402-2826.

Contact Information

Primary practice address
11204 Lee Hwy Suite A-1 Fairfax VA 22030-5007
Phone: (703) 352-4247
Fax: (703) 403-0543
Website:
Map and Directions
Authorized official contact:
Name: Linehan, Kevin B
Phone: (703) 402-2826

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1497822910
LBN Legal business name Bravadas Fairfax Llc
DBA Doing business as Bravadas Wig Design
Authorized official Linehan, Kevin B
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Feb 6th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers