Provider Demographics
NPI:1811043052
Name:HAIR SECRET SYSTEMS
Entity Type:Organization
Organization Name:HAIR SECRET SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NACHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-732-5530
Mailing Address - Street 1:544 S ASHBURTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2702
Mailing Address - Country:US
Mailing Address - Phone:614-732-5530
Mailing Address - Fax:614-732-5530
Practice Address - Street 1:544 S ASHBURTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2702
Practice Address - Country:US
Practice Address - Phone:614-732-5530
Practice Address - Fax:614-732-5530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment