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BRAVE ESSENTIALS LLC NPI 1972388445


NPI Information

NPI: 1972388445
Provider Name: BRAVE ESSENTIALS LLC

Doing Business As: BRAVE ESSENTIALS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
6018 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63112
Phone: (314) 915-9740
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BRAVE ESSENTIALS LLC is a prosthetic orthotic supplier in Saint Louis, MO. 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. BRAVE ESSENTIALS LLC NPI is 1972388445. The provider is registered as an organization entity type.
The provider Is Doing Business As Brave Essentials.

The provider's business location address is:

6018 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63112-402
Phone: (314) 915-9740

The provider's authorized official is Monique R Fulks .
The authorized official title is Ceo and has the following contact phone number (314) 922-3553.

The enumeration date for this NPI number is 8/31/2023 and was last updated on 8/31/2023.


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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