Provider Demographics
NPI:1023419223
Name:PERMANENT COSMETICS BY CHER
Entity type:Organization
Organization Name:PERMANENT COSMETICS BY CHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PIERCE-EBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-225-9061
Mailing Address - Street 1:241 HARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-2400
Mailing Address - Country:US
Mailing Address - Phone:401-225-9061
Mailing Address - Fax:
Practice Address - Street 1:1265 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3221
Practice Address - Country:US
Practice Address - Phone:401-225-9061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RITA00235246ZA2600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, MedicalGroup - Single Specialty