THE BRA LADY BOUTIQUE INC NPI 1447431879

NPI Information

NPI: 1447431879
Provider Name: THE BRA LADY BOUTIQUE, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1085 PINEY FOREST ROAD
DANVILLE, VA
ZIP 24540
Phone: (434) 793-5239
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THE BRA LADY BOUTIQUE, INC is a durable medical equipment medical supplies in Danville, VA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. THE BRA LADY BOUTIQUE, INC NPI is 1447431879. The provider is registered as an organization entity type.

The provider's business location address is:

1085 PINEY FOREST ROAD
DANVILLE, VA
ZIP 24540-507
Phone: (434) 793-5239
Fax: (434) 793-5240

The provider's authorized official is Carolyn H Lumpkin .
The authorized official title is Owner and has the following contact phone number (434) 793-5239.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 10/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1299060001	MEDICARE NSC	VIRGINIA
2	009190236	MEDICAID	VIRGINIA
3	6197140001	MEDICARE NSC	VIRGINIA
4	217268	OTHER	VIRGINIA	ANTHEM/BLUE CROSS
5	217268	OTHER	VIRGINIA	BC/BS OF VA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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