MEDICARE: HAIR UNLIMITED OF DENVER, INC.

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
1	335E00000X	Prosthetic/Orthotic Supplier		CO

General Provider Information

NPI Number	:	1548328917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAIR UNLIMITED OF DENVER, INC.

Provider Business Mailing Address
First Line	:	7535 E HAMPDEN AVE
Second Line	:	SUITE 502
City	:	DENVER
State	:	CO
Zip	:	80231-4838
Country	:	US
Telephone Number	:	303-755-4448
Fax Number	:	303-755-6925

Provider Business Practice Location Address
First Line	:	7535 E HAMPDEN AVE
Second Line	:	SUITE 502
City	:	DENVER
State	:	CO
Zip	:	80231-4838
Country	:	US
Telephone Number	:	303-755-4448
Fax Number	:	303-755-6925

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RALPH JOSEPH CARLACCI JR.
Credential	:
Telephone Number	:	303-755-4448

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	08/22/2020

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