Healthcare Provider Details

I. General information

NPI: 1033082813
Provider Name (Legal Business Name): ESQUIRE HAIR REPLACEMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 W MAIN ST STE 2
WESTMINSTER MD
21157-5674
US

IV. Provider business mailing address

83 W MAIN ST STE 2
WESTMINSTER MD
21157-5674
US

V. Phone/Fax

Practice location:
  • Phone: 410-848-2820
  • Fax:
Mailing address:
  • Phone: 410-848-2820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHERINE THOMAS
Title or Position: OWNER
Credential:
Phone: 240-818-7524