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Prima Donna Salon
Prosthetic/Orthotic Supplier in Belleville, Illinois
NPI 1891230744

Prima Donna Salon is a Prosthetic/Orthotic Supplier based in Belleville, IL. Prima Donna Salon practices in Belleville, IL. The NPI Number for Prima Donna Salon is 1891230744 and holds a License No. 011307091 (Illinois).

The current practice location address for Prima Donna Salon is 333 Longview Dr, Belleville, IL and can be reached out via phone at 618-580-2584 and via fax at 618-277-0639.

Location: 333 Longview Dr, Belleville, IL, 62223-4101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891230744
Provider Name
Prima Donna Salon
Credential
Provider Entity Type
Organization
Address
333 Longview Dr, Belleville, IL, 62223-4101
Phone Number
618-580-2584
Fax Number
618-277-0639
Provider Enumeration Date
01/02/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
333 Longview Dr
City
Belleville
State
Illinois
Zip
62223-4101
Phone Number
618-580-2584
Fax Number
618-277-0639
person
Provider Business Mailing Address Details
Address
333 Longview Dr
City
Belleville
State
Illinois
Zip
62223-4101
Phone Number
618-580-2584
Fax Number
618-277-0639
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
011307091 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
011307091 (Illinois)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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