Wig Wam Boutique LLC
NPI 1821504697 · Durable Medical Equipment & Medical Supplies · Bloomington, IN
Wig Wam Boutique LLC is a Durable Medical Equipment & Medical Supplies organization in Bloomington, IN (NPI 1821504697).
Provider details
- NPI number
- 1821504697
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Marshalene Evans, Member & Registered Agent(812) 498-1857
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-12-15
- Last updated
- 2017-12-15
Frequently asked questions
- What is Wig Wam Boutique LLC's NPI number?
- Wig Wam Boutique LLC's National Provider Identifier (NPI) is 1821504697, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wig Wam Boutique LLC?
- Wig Wam Boutique LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Wig Wam Boutique LLC located?
- Wig Wam Boutique LLC's practice location on file with NPPES is 313 W 17th St, Bloomington, IN 47404-3453.
- What is Wig Wam Boutique LLC's phone number?
- The practice phone number listed in the NPPES registry for Wig Wam Boutique LLC is (812) 332-4914.
- Who is the authorized official for Wig Wam Boutique LLC?
- The authorized official listed on Wig Wam Boutique LLC's NPPES record is Marshalene Evans, Member & Registered Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wig Wam Boutique LLC's NPI active?
- Yes — Wig Wam Boutique LLC's NPI (1821504697) is active in the NPPES registry as of the last update on 2017-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.