TRICHOLOGY HAIR LOSS PREVENTION; NPI #1013629963

Contact Information

TRICHOLOGY HAIR LOSS PREVENTION

470 KNOLLWOOD ST
WINSTON-SALEM, NC 27103-3426

Phone: 336-986-9063
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
VA	261QV0200X
Clinic/Center	261Q00000X
Customized Equipment	332BC3200X	87	All Other Suppliers
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist
Prosthetics Case Management	1744P3200X
Prosthetist	224P00000X	56	Individual Certified Prosthetist
Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for TRICHOLOGY HAIR LOSS PREVENTION

NPI #	`1013629963`
LBN Legal business name	TRICHOLOGY HAIR LOSS PREVENTION
Authorized official	LEOLA MCMILLAN - (PRACTITIONER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/21/2022
Last updated	03/30/2026 - About 2 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TRICHOLOGY HAIR LOSS PREVENTION

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NPI Profile & details for TRICHOLOGY HAIR LOSS PREVENTION

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