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NPI Code Detail

MEDICARE: NORTHERN BRACE COMPANY INC

MEDICARE: NORTHERN BRACE COMPANY 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1427870310
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN BRACE COMPANY INC
Provider Business Mailing Address
First Line : 26834 LAWRENCE
Second Line :
City : CENTER LINE
State : MI
Zip : 48015-1262
Country : US
Telephone Number : 586-755-2300
Fax Number :
Provider Business Practice Location Address
First Line : 2934 E DUPONT RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-1667
Country : US
Telephone Number : 833-372-4709
Fax Number : 833-372-6166
Authorized Official
Title or Position : OWNER AUTHORIZED OFFICIAL
Name : JAMES E BINSON
Credential :
Telephone Number : 586-755-2300
Provider Enumeration Date : 10/30/2024
Last Update Date : 12/18/2024

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Directions to “NORTHERN BRACE COMPANY INC ” Practice Location

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