Healthcare Provider Details

I. General information

NPI: 1447418504
Provider Name (Legal Business Name): TRULY UNIQUE HAIR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

839 OSBORNE AVE
PLAINFIELD NJ
07062-2045
US

IV. Provider business mailing address

839 OSBORNE AVE
PLAINFIELD NJ
07062-2045
US

V. Phone/Fax

Practice location:
  • Phone: 908-548-8440
  • Fax:
Mailing address:
  • Phone: 908-548-8440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. KAREN E. JONES
Title or Position: HAIR REPLACEMENT SPECIALIST/ OWNER
Credential:
Phone: 908-548-8440