Provider Demographics
NPI:1396128708
Name:HAIR TO WEAR LLC
Entity type:Organization
Organization Name:HAIR TO WEAR LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHOLL
Authorized Official - Suffix:
Authorized Official - Credentials:COSMETOLOGY-LICENSED
Authorized Official - Phone:614-891-7888
Mailing Address - Street 1:320 S STATE ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2242
Mailing Address - Country:US
Mailing Address - Phone:614-891-7888
Mailing Address - Fax:
Practice Address - Street 1:320 S STATE ST
Practice Address - Street 2:SUITE D
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2242
Practice Address - Country:US
Practice Address - Phone:614-891-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH25285413335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH25285413OtherVENDOR'S LICENSE
OH890876OtherCOSM. LICENSE
OH090969OtherCOSS LICENSE