Active Brace And Limb Llc
LBN: Active Brace And Limb Llc
Active Brace And Limb Llc is an health care organization with primary practice located at 5123 N Royal Dr , Traverse City MI 49684-9201. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Active Brace And Limb Llc can be contacted via phone (231) 932-8702, or through Pierce, Jerry Allen via phone (231) 932-8702.
Contact Information
Primary practice address
5123 N Royal Dr
Traverse City MI 49684-9201
Phone: (231) 932-8702
Fax:
Website:
Authorized official contact:
Name: Pierce, Jerry Allen Certified Orthotist (CO)
Phone: (231) 932-8702
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Customized Equipment | 332BC3200X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1033162524 |
|---|---|
| LBN Legal business name | Active Brace And Limb Llc |
| DBA Doing business as | |
| Authorized official | Pierce, Jerry Allen Certified Orthotist (CO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jun 7th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033162524 | NPPES |
| Michigan | MEDICAID | 4487817 |
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