Provider Demographics
NPI:1720784929
Name:HAIR LOSS GROUP LLC
Entity type:Organization
Organization Name:HAIR LOSS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:878-258-0253
Mailing Address - Street 1:201 N BRADDOCK AVE STE 228
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2598
Mailing Address - Country:US
Mailing Address - Phone:878-250-0253
Mailing Address - Fax:
Practice Address - Street 1:201 N BRADDOCK AVE STE 228
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2598
Practice Address - Country:US
Practice Address - Phone:878-250-0253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAIR LOSS GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier