National Provider Identifier Database

HAIR REPLACEMENT CLINIC
Prosthetics Case Management

A case manager who provides services for patients with prosthetics.


Contact Information

HAIR REPLACEMENT CLINIC
1815 S WINDSOR
WICHITA, KS67218
Phone: 316-390-1280
Fax:
Website:
Specialty Taxonomy Code
* Prosthetics Case Management 1744P3200X

* Indicates primary specialty

NPI Profile & details for HAIR REPLACEMENT CLINIC

NPI Number 1770038937
Legal business name
LBN
HAIR REPLACEMENT CLINIC
Authorized official DERITA STRONG - (SPECIALIST/OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 08/17/2016
Last updated 08/17/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • KS License #: 29647
  • KS Medicaid: 9860

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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