Dothan Brace Shop
LBN: Dothan Brace Shop
Dothan Brace Shop is an health care organization with primary practice located at 1240 E Main St , Dothan AL 36301-1732. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Dothan Brace Shop can be contacted via phone (334) 792-4330, or through Smitherman, Willis H via phone (334) 792-4330.
Contact Information
Primary practice address
1240 E Main St
Dothan AL 36301-1732
Phone: (334) 792-4330
Fax: (334) 794-6741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 172 | Alabama |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 001 | Alabama |
Profile Details
| NPI number | 1730189028 |
|---|---|
| LBN Legal business name | Dothan Brace Shop |
| DBA Doing business as | |
| Authorized official | Smitherman, Willis H CPO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Sep 5th, 2012 - about 12 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 | 1730189028 | NPPES |
| Georgia | Other | 000040862B | MEDICAID |
| Georgia | MEDICAID | 000040862A | MEDICAID |
| Georgia | MEDICAID | 000050220 | MEDICAID |
| Georgia | Other | 51050220 | MEDICAID |
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