Provider Demographics
NPI:1003989021
Name:HAIR SECRETS INC
Entity type:Organization
Organization Name:HAIR SECRETS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-272-3600
Mailing Address - Street 1:5331 SW 22ND PLACE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-1824
Mailing Address - Country:US
Mailing Address - Phone:785-272-3600
Mailing Address - Fax:785-272-3600
Practice Address - Street 1:5331 SW 22ND PLACE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-1824
Practice Address - Country:US
Practice Address - Phone:785-272-3600
Practice Address - Fax:785-272-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS118028OtherBLUE CROSS BLUE SHIELD
3998220001Medicare ID - Type Unspecified