Organization Name: | NORTHERN BRACE COMPANY INC |
NPI Number: | 1790743821 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY L WEST (VICE PRESIDENT) |
Mailing Address: | 53880 Carmichael Dr Ste. 220 South Bend |
State: | IN US |
Postal Code: | 466351567 |
Phone Number: | 5742775548 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 12/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |