Healthcare Provider Details

I. General information

NPI: 1134032329
Provider Name (Legal Business Name): BARBARA ANN SANON CERTIFIED HAIR LOSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4023 AIRPORT BLVD # 20
MOBILE AL
36608-2201
US

IV. Provider business mailing address

1930 STONEPINE DR S
SEMMES AL
36575-6872
US

V. Phone/Fax

Practice location:
  • Phone: 601-419-4039
  • Fax:
Mailing address:
  • Phone: 601-419-4039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number131765
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: