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NPI Code Detail

MEDICARE: NEW ENGLAND BRACE CO., INC.

MEDICARE: NEW ENGLAND BRACE CO., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2700383OTHERMEHARVARD PILGRIM
34696OTHERMECIGNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
519Z025773ME0OTHERMEBCBS
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073518320
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ENGLAND BRACE CO., INC.
Provider Business Mailing Address
First Line : 217 MAIN ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7069
Country : US
Telephone Number : 207-786-0101
Fax Number : 207-786-0216
Provider Business Practice Location Address
First Line : 217 MAIN ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7069
Country : US
Telephone Number : 207-786-0101
Fax Number : 207-786-0216
Authorized Official
Title or Position : PRESIDENT
Name : MR. PAUL W. GUIMOND
Credential : C.O.
Telephone Number : 603-668-8360
Provider Enumeration Date : 06/14/2005
Last Update Date : 02/23/2009

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Directions to “NEW ENGLAND BRACE CO., INC. ” Practice Location

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