Provider Demographics
NPI:1952929168
Name:STUDIO 92 HAIR, LLC
Entity Type:Organization
Organization Name:STUDIO 92 HAIR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-248-5454
Mailing Address - Street 1:9048 BALIN CT
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2143
Mailing Address - Country:US
Mailing Address - Phone:410-864-0792
Mailing Address - Fax:410-484-2978
Practice Address - Street 1:9048 BALIN CT
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2143
Practice Address - Country:US
Practice Address - Phone:410-864-0792
Practice Address - Fax:410-484-2978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies