Provider Demographics
NPI:1336999234
Name:TONSORIAL ARTISTRY UNIVERSITY OF BARBERING
Entity Type:Organization
Organization Name:TONSORIAL ARTISTRY UNIVERSITY OF BARBERING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEMAREA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCJUNKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-801-8851
Mailing Address - Street 1:990 HIGHWAY 7 S
Mailing Address - Street 2:
Mailing Address - City:WATER VALLEY
Mailing Address - State:MS
Mailing Address - Zip Code:38965-3746
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:208 E MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MS
Practice Address - Zip Code:38843-1230
Practice Address - Country:US
Practice Address - Phone:662-801-8851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies