Organization
BRACE SHOP & PROSTHETIC SERVICES INC
Active
Parent organization
HANGER ORTHOPEDIC GROUP
Other names
The Brace Shop
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER ORTHOPEDIC GROUP
Authorized official
SHERYL PRICE (DIR OF REIMBURSEMENT)
(503) 493-8288
Entity
Organization
Contact information
Practice address
62 DOUGHTY RD, LAWRENCEBURG, IN 47025-2950
(513) 421-5653
Mailing address
111 WELLINGTON PL, CINCINNATI, OH 45219-1758
(513) 421-5653
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0909502
—
OH
05
—
100001360A
—
IN
05
—
6305002000
—
WV
05
—
90254137
—
KY
Enumeration date
11/20/2006
Last updated
03/18/2011
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