Provider Demographics
NPI:1710072541
Name:BEAUTYWORKS INC
Entity Type:Organization
Organization Name:BEAUTYWORKS INC
Other - Org Name:MERLE NORMAN & MORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER FITTER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHANER
Authorized Official - Suffix:
Authorized Official - Credentials:RFM
Authorized Official - Phone:740-453-2358
Mailing Address - Street 1:1224 BRANDYWINE BLVD
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701
Mailing Address - Country:US
Mailing Address - Phone:740-453-2358
Mailing Address - Fax:740-453-7185
Practice Address - Street 1:1224 BRANDYWINE BLVD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701
Practice Address - Country:US
Practice Address - Phone:740-453-2358
Practice Address - Fax:740-453-7185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CFM00524335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000155092OtherBLUE CROSS
OH0185017Medicaid
000000155092OtherBLUE CROSS
0985100001Medicare ID - Type Unspecified