Healthcare Provider Details

I. General information

NPI: 1154253664
Provider Name (Legal Business Name): REIMBURSABLE WIGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 OVERLOOK CIR
JACKSON MS
39213-2305
US

IV. Provider business mailing address

304 OVERLOOK CIR
JACKSON MS
39213-2305
US

V. Phone/Fax

Practice location:
  • Phone: 601-540-6672
  • Fax:
Mailing address:
  • Phone: 601-540-6672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA CARR
Title or Position: CRANIAL PROTHESIS SPECIALIST
Credential: CERTIFIED
Phone: 601-540-6672