BRAVADAS OF FAIRFAX LLC NPI 1285007849

NPI Information

NPI: 1285007849
Provider Name: BRAVADAS OF FAIRFAX LLC

Doing Business As: BRAVADAS WIGS & EXTENSIONS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
11204 LEE HIGHWAY
FAIRFAX, VA
ZIP 22030
Phone: (703) 352-4247
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BRAVADAS OF FAIRFAX LLC is a durable medical equipment medical supplies in Fairfax, VA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BRAVADAS OF FAIRFAX LLC NPI is 1285007849. The provider is registered as an organization entity type.
The provider Is Doing Business As Bravadas Wigs & Extensions.

The provider's business location address is:

11204 LEE HIGHWAY
FAIRFAX, VA
ZIP 22030
Phone: (703) 352-4247

The provider's authorized official is Tracy Hobbs .
The authorized official title is Vp Of Operations and has the following contact phone number (402) 397-2524.

The enumeration date for this NPI number is 11/4/2015 and was last updated on 11/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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