Provider Demographics
NPI:1649492901
Name:OASIS HAIR DESIGN, INC.
Entity type:Organization
Organization Name:OASIS HAIR DESIGN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:EICHELSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-443-5111
Mailing Address - Street 1:100 WEST HOUSATONIC STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201
Mailing Address - Country:US
Mailing Address - Phone:413-443-5111
Mailing Address - Fax:413-442-3888
Practice Address - Street 1:100 WEST HOUSATONIC STREET
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201
Practice Address - Country:US
Practice Address - Phone:413-443-5111
Practice Address - Fax:413-442-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier