Chalet Hair & Wig Design

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

CHALET HAIR & WIG DESIGN

Practice address

1 Crane Ave
Norwich, CT 06360-5405

Phone

(860) 889-4030

NPI assigned

Jun 27, 2013

Last updated

Jun 27, 2013By 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. Patricia L Fernald

Title

Owner

Phone

(860) 889-4030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1952741522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRANE AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRANE AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605405",
            "telephone_number": "860-889-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALET HAIR & WIG DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "FERNALD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-889-4030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas M Ceddia, MD
• Danielle Cellucci
• Center for Hospice Care Southeast Connecticut, Inc.
• Jeanne J Chadwick
• Darien Anthony Chalecki, LICENSED PROFESSIONA
• Amanda Chambers, CCC-SLP
• Rushie T Chamblee, APRN
• Rebecca Champlin, APRN
• Charlotte Farmer LPC PLLC
• Felicia Elizabeth Chase

• Other Technician in Norwich, CT
• Providers in Norwich, CT by specialty
• Other Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.