SHADE MEDICAL AND CREATIVE TATTOO LLC; NPI #1548820731

Contact Information

SHADE MEDICAL AND CREATIVE TATTOO LLC

3230 UNIVERSITY AVE STE 12
MADISON, WI 53705-3540

Phone: 608-571-2617
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical Art Specialist/Technologist	246ZA2600X

Indicates primary specialty

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NPI Profile & details for SHADE MEDICAL AND CREATIVE TATTOO LLC

NPI #	`1548820731`
LBN Legal business name	SHADE MEDICAL AND CREATIVE TATTOO LLC
Authorized official	ALISSA WATERS - (OWNER/TATTOOIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/19/2019
Last updated	06/19/2019 - About 7 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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SHADE MEDICAL AND CREATIVE TATTOO LLC

Contact Information

Specialty

Medical Art Specialist/Technologist

NPI Profile & details for SHADE MEDICAL AND CREATIVE TATTOO LLC

Reviews for SHADE MEDICAL AND CREATIVE TATTOO LLC