The Wig Shoppe

Primary specialty

AnaplastologistTaxonomy code 229N00000X

License

246536 Issued in KY

Legal business name

THE WIG SHOPPE

Practice address

9960 Linn Station Rd
Louisville, KY 40223

Phone

(502) 412-8810

Fax

(502) 394-0783

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By 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

Mrs. Candyce S Slade

Title

Owner

Phone

(502) 412-8810

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1871754341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40223",
            "telephone_number": "502-412-8810",
            "fax_number": "502-394-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40223",
            "telephone_number": "502-412-8810",
            "fax_number": "502-394-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WIG SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "CANDYCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-412-8810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "229N00000X",
            "taxonomy_group": "",
            "desc": "Anaplastologist",
            "state": "KY",
            "license": "246536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Therapy Lounge LLC (The Therapy Lounge & Wellness Boutique)
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• The University Gynecological & Obstetrical Foundation, Inc.
• The Well Wagon, LLC (The Well of KY, LLC)
• The Whole Child Clinic LLC
• The Wright Psychology and Learning Center, PLLC
• The Zen Den, LLC (The Zen Den)
• The Zen Zone Wellness
• Andre R Thebert, M.D.
• Michael D Thedford

• Anaplastologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Anaplastologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.