Healthcare Provider Details

I. General information

NPI: 1255496121
Provider Name (Legal Business Name): BILL MERLETTI BRACE COMPANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 01/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 E 8TH AVE
HOMESTEAD PA
15120-1503
US

IV. Provider business mailing address

131 E 8TH AVE
HOMESTEAD PA
15120-1503
US

V. Phone/Fax

Practice location:
  • Phone: 412-462-7181
  • Fax: 412-462-7520
Mailing address:
  • Phone: 412-462-7181
  • Fax: 412-462-7520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. WILLIAM MERLETTI
Title or Position: OWNER
Credential:
Phone: 412-462-7181