Wig Wam Boutique LLC
Wig Wam Boutique LLC is a Durable Medical Equipment & Medical Supplies in Bloomington, Indiana. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
313 W 17th StBloomington, IN 47404-3453
Phone: (812) 332-4914
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1821504697 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marshalene Evans — Member & Registered Agent · (812) 498-1857 |
| NPI enumerated | December 15, 2017 |
| Last updated in NPPES | December 15, 2017 |
| Mailing address | 397 S Gum St, North Vernon, IN 47265-2055 |
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