Provider Demographics
NPI:1801659388
Name:HAIR AND INK
Entity type:Organization
Organization Name:HAIR AND INK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULACHOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-897-2595
Mailing Address - Street 1:306 DE ROSE CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-1679
Mailing Address - Country:US
Mailing Address - Phone:302-897-2595
Mailing Address - Fax:
Practice Address - Street 1:306 DE ROSE CT
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1679
Practice Address - Country:US
Practice Address - Phone:302-897-2595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty