Provider Demographics
NPI:1245959550
Name:UNIQUE HAIR & SCALP CLINIC LLC
Entity type:Organization
Organization Name:UNIQUE HAIR & SCALP CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRICOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:VELMA
Authorized Official - Middle Name:REE
Authorized Official - Last Name:WHITE-BLOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-331-8872
Mailing Address - Street 1:58 PARKERS DR # 302
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-1465
Mailing Address - Country:US
Mailing Address - Phone:302-331-8872
Mailing Address - Fax:
Practice Address - Street 1:1188 FORREST AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3379
Practice Address - Country:US
Practice Address - Phone:302-566-7144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Multi-Specialty