Bossart Hair LLC
Durable Medical Equipment & Medical Supplies in Matthews, NC. Organization (NPI-2).
NPI number1659080448
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1659080448
- Entity type
- Organization (NPI-2)
- Legal business name
- Bossart Hair LLC
- Organization subpart
- No
- Enumeration date
- Nov 21, 2022
- Certification date
- Nov 20, 2022
- Last updated
- Nov 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
9949 E Independence Blvd # 19Matthews, NC 28105-4665
Phone 317-721-5030
Mailing address
9949 E Independence Blvd # 19Matthews, NC 28105-4665
Authorized official
Ashley Thompson-Baker
Specialist
3175239033
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