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THE WIG SHOPPE NPI 1871754341


NPI Information

NPI: 1871754341
Provider Name: THE WIG SHOPPE
Classification: Anaplastologist - 229N00000X
Entity Type: Organization
Address:
9960 LINN STATION RD
LOUISVILLE, KY
ZIP 40223
Phone: (502) 412-8810
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THE WIG SHOPPE is an anaplastologist in Louisville, KY. 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). THE WIG SHOPPE NPI is 1871754341. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9960 LINN STATION RD
LOUISVILLE, KY
ZIP 40223
Phone: (502) 412-8810
Fax: (502) 394-0783

The provider's authorized official is Candyce S Slade .
The authorized official title is Owner and has the following contact phone number (502) 412-8810.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 6/18/2008.


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
1229N00000XAnaplastologist246536KENTUCKYYes

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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