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MONIQUE RENEE WIGS AND ETC NPI 1356858971


NPI Information

NPI: 1356858971
Provider Name: MONIQUE RENEE WIGS AND ETC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
12123 BLUE RIDGE EXT STE C
GRANDVIEW, MO
ZIP 64030
Phone: (816) 499-2233
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MONIQUE RENEE WIGS AND ETC is a prosthetic orthotic supplier in Grandview, MO. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MONIQUE RENEE WIGS AND ETC NPI is 1356858971. The provider is registered as an organization entity type.

The provider's business location address is:

12123 BLUE RIDGE EXT STE C
GRANDVIEW, MO
ZIP 64030-194
Phone: (816) 499-2233

The provider's authorized official is Ericka Lewis .
The authorized official title is Certified Hairloss Specialist and has the following contact phone number (816) 308-0132.

The enumeration date for this NPI number is 1/4/2018 and was last updated on 1/4/2018.


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
1335E00000XProsthetic/Orthotic SupplierYes

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: 5/5/2024

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