KB Wigs & Beauty Supply

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

335E00000X Issued in MI

Legal business name

KB WIGS & BEAUTY SUPPLY

Practice address

317 Industrial Park Dr
Belleville, MI 48111-2901

Phone

(734) 697-6327

Fax

(734) 697-9177

NPI assigned

Jun 6, 2011

Last updated

Jun 6, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Danny Tony Haynes

Title

Manager

Phone

(734) 686-0653

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1457645566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 INDUSTRIAL PARK DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112901",
            "telephone_number": "734-697-6327",
            "fax_number": "734-697-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 INDUSTRIAL PARK DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112901",
            "telephone_number": "734-697-6327",
            "fax_number": "734-697-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB WIGS & BEAUTY SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "TONY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-686-0653",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "335E00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Belleville, MI
• Providers in Belleville, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.