Healthcare Provider Details

I. General information

NPI: 1174554505
Provider Name (Legal Business Name): UP BRAS THAT FIT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816-B LUDINGTON ST
ESCANABA MI
49829
US

IV. Provider business mailing address

816-B LUDINGTON ST
ESCANABA MI
49829
US

V. Phone/Fax

Practice location:
  • Phone: 906-786-2724
  • Fax: 906-786-2776
Mailing address:
  • Phone: 906-786-2724
  • Fax: 906-786-2776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: LINDA ANN ROMPS
Title or Position: OWNER-CEO
Credential: CFM, LPN
Phone: 906-786-2724