Provider Demographics
NPI:1912274747
Name:SHEARMETRICS HAIR SALON
Entity type:Organization
Organization Name:SHEARMETRICS HAIR SALON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:MASTER COSMETOLOGIST
Authorized Official - Phone:251-259-7233
Mailing Address - Street 1:3578 OAK TREE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575-5392
Mailing Address - Country:US
Mailing Address - Phone:251-623-9224
Mailing Address - Fax:
Practice Address - Street 1:2282 MOSS CREEK CT
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3783
Practice Address - Country:US
Practice Address - Phone:251-259-7233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL63085335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier