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INNOVATION HAIR CLINIC
NPI 1720558893
Prosthetic/Orthotic Supplier in Fayetteville, NC

Active since November 30, 2018
2915 RAEFORD RD STE 203, FAYETTEVILLE, NC 28303(910) 378-1966(910) 378-1962 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2019, Nov 30, 2018 (2 updates tracked since 2018).

About Innovation Hair Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATION HAIR CLINIC (NPI 1720558893) is a healthcare organization registered as a prosthetic/orthotic supplier in Fayetteville, North Carolina and active in the NPI registry since November 2018. The organization lists Levi Samuels, Vp Of Business & Operations, as its authorized official.

NPPES Registry Identity

NPI1720558893
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBROADBAND INNOVATION GROUP
Location Address2915 RAEFORD RD STE 203Fayetteville, NC 28303-5491
Mailing Address201 Hay St Ste 102Fayetteville, NC 28301-5581 · (910) 824-2872 · Fax (910) 378-1962
Phone(910) 378-1966
Fax(910) 378-1962
Organization SubpartNo
Authorized OfficialLevi SamuelsVp Of Business & Operations · (910) 824-2872
Enumeration DateNovember 30, 2018
Last NPPES UpdateFebruary 6, 20192 updates tracked since enumeration
✔ NPI 1720558893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2915 RAEFORD RD STE 203, Fayetteville, NC 28303
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Other Names 1

Doing Business AsInnovation Hair Clinic

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadband Innovation Group's NPI number?

The NPI number for Broadband Innovation Group is 1720558893. It was assigned to this organization in the NPPES registry on November 30, 2018. The provider is doing business as Innovation Hair Clinic.

Where is Broadband Innovation Group located?

Broadband Innovation Group is located at 2915 Raeford Rd Ste 203, Fayetteville, NC 28303. The listed phone number is (910) 378-1966.

What is Broadband Innovation Group's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Broadband Innovation Group was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.