Image Maker Hair Salon and Wig Studio

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

IMAGE MAKER HAIR SALON AND WIG STUDIO

Practice address

1033A Claymont Dr
Lynchburg, VA 24502-4481

Phone

(434) 385-0347

NPI assigned

Jun 12, 2019

Organization subpart

No

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

Authorized official

Name

Alice Mohler

Title

Owner

Phone

(434) 385-0347

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1619536760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033A CLAYMONT DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024481",
            "telephone_number": "434-385-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033A CLAYMONT DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024481",
            "telephone_number": "434-385-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE MAKER HAIR SALON AND WIG STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "MOHLER",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-385-0347"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Prosthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.