Brace Place Ltd

LBN: Brace Place Ltd
Brace Place Ltd is an health care organization with primary practice located at 1033 W Quinn Rd , Pocatello ID 83202-2425. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Brace Place Ltd can be contacted via phone (208) 234-4579, or through Desfosses, Dan R via phone (208) 234-4579.

Contact Information

Primary practice address
1033 W Quinn Rd Pocatello ID 83202-2425
Phone: (208) 234-4579
Fax: (208) 233-4887
Website:
Map and Directions
Authorized official contact:
Name: Desfosses, Dan R DPT
Phone: (208) 234-4579

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Idaho

Profile Details

NPI number 1619050440
LBN Legal business name Brace Place Ltd
DBA Doing business as
Authorized official Desfosses, Dan R DPT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Mar 23rd, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619050440 NPPES
Idaho Other 8402D BLUE CROSS
Idaho Other 000010014433 BLUE CROSS

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