Organization
BRAVADAS FAIRFAX LLC
Active
Other names
Bravadas Wig Design
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN B LINEHAN (OWNER)
(703) 402-2826
Entity
Organization
Contact information
Practice address
11204 LEE HWY, SUITE A-1, FAIRFAX, VA 22030-5007
(703) 352-4247
(703) 403-0543
Mailing address
11204 LEE HWY, SUITE A-1, FAIRFAX, VA 22030-5007
(703) 352-4247
(703) 403-0543
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
02/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us