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Contact Information

COEUR D'ALENE WIGS LLC
296 W SUNSET AVE STE 17
COEUR D'ALENE, ID83815-8367
 Phone: 208-551-2761
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for COEUR D'ALENE WIGS LLC

NPI # 1558931691
LBN Legal business name COEUR D'ALENE WIGS LLC
Authorized official JENNIFER LINDLEY - (OWNER/PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2021
Last updated 06/30/2021 - About 5 years 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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