Salon MJ2 LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

112570 Issued in MO

Legal business name

SALON MJ2 LLC

Practice address

394 Saint Ferdinand St
Florissant, MO 63031-5918

Phone

(314) 938-5585

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Monica Cherry, COSMETOLOGIST

Title

Hair Loss Specialist

Phone

(314) 938-5585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1780197855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 SAINT FERDINAND ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315918",
            "telephone_number": "314-938-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 SAINT FERDINAND ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315918",
            "telephone_number": "314-938-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALON MJ2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "314-938-5585",
        "authorized_official_credential": "COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "112570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Florissant, MO
• Providers in Florissant, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.