Second To Nature Mastectomy Boutique

LBN: Second To Nature Mastectomy Boutique
Second To Nature Mastectomy Boutique is an health care organization with primary practice located at 500 State St Unit A , Greensboro NC 27405-5659. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Second To Nature Mastectomy Boutique can be contacted via phone (336) 274-2003, or through Hertzell, Ramona Rae via phone (336) 274-2003.

Contact Information

Primary practice address
500 State St Unit A Greensboro NC 27405-5659
Phone: (336) 274-2003
Fax: (336) 274-2052
Website:
Map and Directions
Authorized official contact:
Name: Hertzell, Ramona Rae CFM
Phone: (336) 274-2003

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 600186564 North Carolina

Profile Details

NPI number 1316128747
LBN Legal business name Second To Nature Mastectomy Boutique
DBA Doing business as
Authorized official Hertzell, Ramona Rae CFM
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2007
Last updated May 23rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316128747 NPPES
North Carolina Other 0360A BCBS
North Carolina MEDICAID 7702598 BCBS

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