Provider Demographics
NPI:1780931741
Name:OVER MY HEAD, A UNIQUE HEADWARE COMPANY
Entity type:Organization
Organization Name:OVER MY HEAD, A UNIQUE HEADWARE COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:N
Authorized Official - Last Name:GOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-566-4700
Mailing Address - Street 1:500 THOMAS LN
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3902
Mailing Address - Country:US
Mailing Address - Phone:614-566-4700
Mailing Address - Fax:614-566-1911
Practice Address - Street 1:500 THOMAS LN
Practice Address - Street 2:SUITE 1A
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3902
Practice Address - Country:US
Practice Address - Phone:614-566-4700
Practice Address - Fax:614-566-1911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH25281282332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6714950001Medicare NSC