Provider Demographics
NPI:1548328917
Name:HAIR UNLIMITED OF DENVER, INC.
Entity type:Organization
Organization Name:HAIR UNLIMITED OF DENVER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CARLACCI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:303-755-4448
Mailing Address - Street 1:7535 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 502
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4838
Mailing Address - Country:US
Mailing Address - Phone:303-755-4448
Mailing Address - Fax:303-755-6925
Practice Address - Street 1:7535 E HAMPDEN AVE
Practice Address - Street 2:SUITE 502
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4838
Practice Address - Country:US
Practice Address - Phone:303-755-4448
Practice Address - Fax:303-755-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier