Virgin Girl Hair Medical Prosthesis

LBN: Virgin Girl Hair
Virgin Girl Hair Medical Prosthesis is an health care organization with primary practice located at 11885 E 12 Mile Rd Ste 200B , Warren MI 48093-3474. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Virgin Girl Hair can be contacted via phone (586) 585-1446, or through Marcilis, Russell via phone (313) 799-7935.

Contact Information

Primary practice address
11885 E 12 Mile Rd Ste 200B Warren MI 48093-3474
Phone: (586) 585-1446
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marcilis, Russell
Phone: (313) 799-7935

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1942677273
LBN Legal business name Virgin Girl Hair
DBA Doing business as Virgin Girl Hair Medical Prosthesis
Authorized official Marcilis, Russell
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2015
Last updated Dec 30th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942677273 NPPES
Michigan MEDICAID 562479018

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