Provider Demographics
NPI:1174530364
Name:SILHOUETTE ENTERPRISES, INC
Entity type:Organization
Organization Name:SILHOUETTE ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:B
Authorized Official - Last Name:GATWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-327-3344
Mailing Address - Street 1:1239 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2660
Mailing Address - Country:US
Mailing Address - Phone:828-327-3344
Mailing Address - Fax:828-327-3834
Practice Address - Street 1:1239 2ND ST NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2660
Practice Address - Country:US
Practice Address - Phone:828-327-3344
Practice Address - Fax:828-327-3834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0609450332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704431Medicaid
NC4792300001Medicare NSC