DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TONI L IRBY HAIR LOSS SPECIALIST

MEDICARE: TONI L IRBY HAIR LOSS SPECIALIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11744P3200XProsthetics Case ManagementBC29800806IN

General Provider Information

NPI Number : 1063963627
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONI L IRBY HAIR LOSS SPECIALIST
Provider Business Mailing Address
First Line : 1216 BUNKER HILL PL
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825
Country : US
Telephone Number : 260-760-6686
Fax Number :
Provider Business Practice Location Address
First Line : 3219 E STATE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805
Country : US
Telephone Number : 260-760-6686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2016
Last Update Date : 10/19/2016

Similar Medicare Providers

1861230807 — KARTHIK RAJA RAVICHANDRAN MD
Practice Location Address:
2200 RANDALLIA DR
FORT WAYNE, IN
46805-4638
Practice Phone: 260-373-7765
Practice Fax:
1558203133 — VARUN SHARMA
Practice Location Address:
2200 RANDALLIA DR
FORT WAYNE, IN
46805-4638
Practice Phone: 260-266-1195
Practice Fax:
1386453298 — ESA SYED
Practice Location Address:
2231 CAREW ST
FORT WAYNE, IN
46805-4713
Practice Phone: 260-373-7765
Practice Fax:
1619814191 — JAIPAL MALHI
Practice Location Address:
2200 RANDALLIA DR
FORT WAYNE, IN
46805-4638
Practice Phone: 260-373-4000
Practice Fax:
1265241590 — DYLAN CONNER
Practice Location Address:
2200 RANDALLIA DR
FORT WAYNE, IN
46805-4638
Practice Phone: 260-373-7765
Practice Fax:
1164238135 — CAYLIN ALEXANDRA SIEVERS
Practice Location Address:
3946 ICE WAY
FORT WAYNE, IN
46805-1018
Practice Phone: 260-579-1022
Practice Fax:
1245046218 — COLTON MILLER LAT, ATC
Practice Location Address:
3946 ICE WAY
FORT WAYNE, IN
46805-1018
Practice Phone: 260-266-4007
Practice Fax:

Directions to “ TONI L IRBY HAIR LOSS SPECIALIST” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.