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PROUD MARY BRAS NPI 1821234998


NPI Information

NPI: 1821234998
Provider Name: PROUD MARY BRAS
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
6305 WALL ST
STERLING HEIGHTS, MI
ZIP 48312
Phone: (877) 627-9272
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PROUD MARY BRAS is a prosthetic orthotic supplier in Sterling Heights, MI. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. PROUD MARY BRAS NPI is 1821234998. The provider is registered as an organization entity type.

The provider's business location address is:

6305 WALL ST
STERLING HEIGHTS, MI
ZIP 48312-078
Phone: (877) 627-9272

The provider's authorized official is Tracy Marie Bush .
The authorized official title is Prosthetic Business Unit Manager and has the following contact phone number (586) 264-2283.

The enumeration date for this NPI number is 12/19/2008 and was last updated on 12/19/2008.


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
1335E00000XProsthetic/Orthotic SupplierYes

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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