BRACE SHOP & PROSTHETIC SERVICES INC; NPI #1396819280

Contact Information

BRACE SHOP & PROSTHETIC SERVICES INC

62 DOUGHTY RD
LAWRENCEBURG, IN 47025-2950

Phone: 513-421-5653
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for BRACE SHOP & PROSTHETIC SERVICES INC

NPI Number 1396819280

LBN Legal business name BRACE SHOP & PROSTHETIC SERVICES INC

Authorized official SHERYL PRICE - (DIR OF REIMBURSEMENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/20/2006

Last updated 03/18/2011 - About 15 years ago

Identifiers

IN	Medicaid	100001360A
KY	Medicaid	90254137
OH	Medicaid	0909502
WV	Medicaid	6305002000

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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