Provider Demographics
NPI:1194390161
Name:HQ HAIR SOLUTION CENTER
Entity Type:Organization
Organization Name:HQ HAIR SOLUTION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HAIR LOSS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSARIO-PIRTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-670-5438
Mailing Address - Street 1:205 E 86TH CT STE 205
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6259
Mailing Address - Country:US
Mailing Address - Phone:219-670-5438
Mailing Address - Fax:
Practice Address - Street 1:205 E 86TH CT # 205
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6259
Practice Address - Country:US
Practice Address - Phone:219-670-5438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-23
Last Update Date:2021-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies