Isabella'S Bra-Tique

LBN: Isabella Hammonds Estate
Isabella'S Bra-Tique is an health care organization with primary practice located at 3510 N Main St , Dayton OH 45405-2401. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Isabella Hammonds Estate can be contacted via phone (937) 278-9966, or through Haenggi, Joni Elaine via phone (937) 278-9966.

Contact Information

Primary practice address
3510 N Main St Dayton OH 45405-2401
Fax: (937) 277-0286
Website:
Authorized official contact:
Name: Haenggi, Joni Elaine

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X N/A IN OHIO Ohio

Profile Details

NPI number 1861451544
LBN Legal business name Isabella Hammonds Estate
DBA Doing business as Isabella'S Bra-Tique
Authorized official Haenggi, Joni Elaine
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 31st, 2008 - about 16 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 1861451544 NPPES
Ohio Other 0005341067 AETNA PROVIDER NUMBER
Ohio MEDICAID 0539975 AETNA PROVIDER NUMBER
Ohio Other 000000028420 AETNA PROVIDER NUMBER
Ohio Other 82-20259 AETNA PROVIDER NUMBER
Ohio Other 83027 AETNA PROVIDER NUMBER

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