IN THE PINK WIG BOUTIQUE LLC (NPI# 1669607289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669607289 |
| Entity Type | Organization |
| Organization Name | IN THE PINK WIG BOUTIQUE LLC |
| Other Organization Name | IN THE PINK WIGS & BOUTIQUE |
| Practice Address |
2617a Durham Chapel Hill Blvd Durham NC 27707 |
| Practice Telephone | 9194905790 |
| Mailing Telephone | 9194905790 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | MRS. DANA POWERS (OWNER) |
| Authorized Official Telephone | 9194905790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| In the Pink Wigs & Boutique | Doing Business As Name - Organization |
| Street Address |
2617A DURHAM CHAPEL HILL BLVD |
| City | DURHAM |
| State | NC |
| Zip Code | 27707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821595356 | Joy Leak | Prosthetic/Orthotic Supplier | 605 Bacon St, Durham, NC 27703-5001 | 2018-04-11 |
| 1255681797 | Country Cobbler, Ltd. | Prosthetic/Orthotic Supplier | 6815 Fayetteville Road, #102, Durham, NC 27713-7081 | 2012-09-12 |
| 1659656916 | Center for Orthotic and Prosthetic Care of North Carolina, Inc | Prosthetic/Orthotic Supplier | 4702 Creekstone Dr, Durham, NC 27703-8410 | 2011-10-19 |
| 1366641334 | Jerry M Wilch | Prosthetic/Orthotic Supplier | Box 3885 Dumc, M04 Davison Bldg, Durham, NC 27710-0001 | 2007-07-11 |
| 1750307161 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 6910 Fayetteville Rd # 5000, Durham, NC 27713-9714 | 2006-07-15 |
| 1770589368 | Center for Orthotic and Prosthetic Care of North Carolina Inc | Prosthetic/Orthotic Supplier | Mo4 Davison Bldg, Dumc, Durham, NC 27710-0001 | 2005-06-28 |
| 1770121956 | Allure Me The Hair Estate | Prosthetic/Orthotic Supplier | 1910 Sedwick Rd, Durham, NC 27713-7807 | 2019-12-18 |
| 1760900146 | Center for Orthotic and Prosthetic Care of North Carolina Inc | Prosthetic/Orthotic Supplier | 3901 N Roxboro St Ste 112, Durham, NC 27704-2181 | 2017-09-06 |
| 1417402462 | Private Diagnostic Clinic, Pllc | Prosthetic/Orthotic Supplier | 4709 Creekstone Dr, Suite 300, Durham, NC 27703-9822 | 2016-08-19 |
| 1679916035 | Limbionics of Durham, Inc | Prosthetic/Orthotic Supplier | 5007 Southpark Dr, Suite 110, Durham, NC 27713-7739 | 2013-04-16 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on IN THE PINK WIG BOUTIQUE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.