Provider Demographics
NPI:1578344693
Name:JEANETTE WIRZ PERMANENT COSMETICS
Entity Type:Organization
Organization Name:JEANETTE WIRZ PERMANENT COSMETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:WIRZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-400-2780
Mailing Address - Street 1:8327 SAWYER BROWN RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2539
Mailing Address - Country:US
Mailing Address - Phone:615-400-2780
Mailing Address - Fax:
Practice Address - Street 1:8327 SAWYER BROWN RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-2539
Practice Address - Country:US
Practice Address - Phone:615-400-2780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty