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VISAGE STUDIOS LLC NPI 1023382116


NPI Information

NPI: 1023382116
Provider Name: VISAGE STUDIOS, LLC

Doing Business As: VISAGE CUSTOM PROSTHETICS

Classification: Anaplastologist - 229N00000X
Entity Type: Organization
Address:
53 E JOHNSON ST
BONNE TERRE, MO
ZIP 63628
Phone: (314) 732-2658
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VISAGE STUDIOS, LLC is an anaplastologist in Bonne Terre, MO. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). VISAGE STUDIOS, LLC NPI is 1023382116. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Visage Custom Prosthetics.

The provider's business location address is:

53 E JOHNSON ST
BONNE TERRE, MO
ZIP 63628-773
Phone: (314) 732-2658

The provider's authorized official is Amanda Behr .
The authorized official title is Anaplastologist and has the following contact phone number (314) 732-2658.

The enumeration date for this NPI number is 3/7/2012 and was last updated on 3/7/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1229N00000XAnaplastologistYes

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

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