Healthcare Provider Details

I. General information

NPI: 1124665575
Provider Name (Legal Business Name): TRINITY STYLES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2019
Last Update Date: 06/09/2022
Certification Date: 06/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 DOWNTOWNER BLVD
MOBILE AL
36609-5408
US

IV. Provider business mailing address

1001 DOWNTOWNER BLVD
MOBILE AL
36609-5408
US

V. Phone/Fax

Practice location:
  • Phone: 251-716-7301
  • Fax:
Mailing address:
  • Phone: 251-716-7301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SHEMEKA MURPHY
Title or Position: HAIR REPLACEMENT SPECIALIST
Credential: HAIR LOSS CENTER
Phone: 251-716-7301