HAIR REPLACEMENT CLINIC; NPI #1770038937

Contact Information

HAIR REPLACEMENT CLINIC

1815 S WINDSOR
WICHITA, KS 67218

Phone: 316-390-1280
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetics Case Management	1744P3200X

Indicates primary specialty

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NPI Profile & details for HAIR REPLACEMENT CLINIC

NPI Number 1770038937

LBN Legal business name HAIR REPLACEMENT CLINIC

Authorized official DERITA STRONG - (SPECIALIST/OWNER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 08/17/2016

Last updated 08/17/2016 - About 10 years ago

Identifiers

KS	License #	29647
KS	Medicaid	9860

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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