Provider Demographics
NPI:1073227013
Name:INDUSTRY LOCS HAIR EXTENSIONS
Entity Type:Organization
Organization Name:INDUSTRY LOCS HAIR EXTENSIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:COLLINS
Authorized Official - Last Name:MCGLUEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-530-3433
Mailing Address - Street 1:230 S PERRY RD # 1069
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-2735
Mailing Address - Country:US
Mailing Address - Phone:901-530-3433
Mailing Address - Fax:
Practice Address - Street 1:230 S PERRY RD # 1069
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-2735
Practice Address - Country:US
Practice Address - Phone:901-530-3433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier