Provider Demographics
NPI:1386825255
Name:HIGH DEFINITION HAIR
Entity Type:Organization
Organization Name:HIGH DEFINITION HAIR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:HIGH
Authorized Official - Middle Name:DEFINITION
Authorized Official - Last Name:HAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-800-2177
Mailing Address - Street 1:1312 9TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-4208
Mailing Address - Country:US
Mailing Address - Phone:866-800-2177
Mailing Address - Fax:202-758-3062
Practice Address - Street 1:1312 9TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-4208
Practice Address - Country:US
Practice Address - Phone:866-800-2177
Practice Address - Fax:202-758-3062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNON APPLICABLE251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage