Healthcare Provider Details

I. General information

NPI: 1831949387
Provider Name (Legal Business Name): HAIR SYSTEMS UNLIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3542 BRODHEAD RD
MONACA PA
15061-3126
US

IV. Provider business mailing address

3542 BRODHEAD RD
MONACA PA
15061-3126
US

V. Phone/Fax

Practice location:
  • Phone: 724-775-7671
  • Fax:
Mailing address:
  • Phone: 724-775-7671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name: CARRIE ELIZABETH STIGER
Title or Position: OWNER
Credential: CERTIFIED HAIR LOSS
Phone: 724-775-7671