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General NPI Number Information
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NPI Number | 1427870310
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Entity Type | Organization
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Legal Business Name | NORTHERN BRACE COMPANY INC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 2934 E DUPONT RD
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City | FORT WAYNE
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State | IN
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Zip | 46825-1667
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Country | US
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Telephone | 833-372-4709
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Fax | 833-372-6166
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Provider Business Mailing Address
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Address Line | 26834 LAWRENCE
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City | CENTER LINE
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State | MI
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Zip | 48015-1262
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Country | US
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Telephone | 586-755-2300
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Fax |
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Authorized Official
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Title or Position | OWNER AUTHORIZED OFFICIAL
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Name | JAMES E BINSON
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Credential |
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Telephone | 586-755-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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