The Brace Shoppe, Inc

LBN: The Brace Shoppe Inc.
The Brace Shoppe, Inc is an health care organization with primary practice located at 300 Wood Mist Ln , Fountain Inn SC 29644-9273. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. The Brace Shoppe Inc. can be contacted via phone (304) 638-3128, or through Ball, Jackie Sue via phone (304) 638-3128.

Contact Information

Primary practice address
300 Wood Mist Ln Fountain Inn SC 29644-9273
Phone: (304) 638-3128
Fax: (304) 638-3128
Website:
Map and Directions
Authorized official contact:
Name: Ball, Jackie Sue LCO
Phone: (304) 638-3128

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X ORT0000000095 Tennessee

Profile Details

NPI number 1396930293
LBN Legal business name The Brace Shoppe Inc.
DBA Doing business as The Brace Shoppe, Inc
Authorized official Ball, Jackie Sue LCO
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2007
Last updated Nov 15th, 2023 - about 3 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 1396930293 NPPES
Kentucky MEDICAID 90012089
Kentucky MEDICAID 3810004179
Kentucky MEDICAID 2609216

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