Provider Demographics
NPI:1194067751
Name:PROFESSIONAL HAIR INSTITUTE OF COLORADO
Entity type:Organization
Organization Name:PROFESSIONAL HAIR INSTITUTE OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:D
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-782-4858
Mailing Address - Street 1:6740 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3016
Mailing Address - Country:US
Mailing Address - Phone:303-782-4858
Mailing Address - Fax:303-782-4877
Practice Address - Street 1:6740 E HAMPDEN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3016
Practice Address - Country:US
Practice Address - Phone:303-782-4858
Practice Address - Fax:303-782-4877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO266892332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment