Provider Demographics
NPI:1366158255
Name:SAKS, NECHAMA DINA (OWNER AT WIG SALON)
Entity type:Individual
Prefix:MRS
First Name:NECHAMA
Middle Name:DINA
Last Name:SAKS
Suffix:
Gender:F
Credentials:OWNER AT WIG SALON
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2103
Mailing Address - Country:US
Mailing Address - Phone:412-512-9866
Mailing Address - Fax:
Practice Address - Street 1:2021 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2103
Practice Address - Country:US
Practice Address - Phone:412-512-9866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACO284456224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA81-1107054OtherDONT HAVE