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SPECTRABRACE LTD. NPI 1114078326


NPI Information

NPI: 1114078326
Provider Name: SPECTRABRACE, LTD.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
315 TURWILL LN
SUITE A
KALAMAZOO, MI
ZIP 49006
Phone: (269) 381-0503
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SPECTRABRACE, LTD. is a durable medical equipment medical supplies in Kalamazoo, MI. 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. SPECTRABRACE, LTD. NPI is 1114078326. The provider is registered as an organization entity type.

The provider's business location address is:

315 TURWILL LN
SUITE A
KALAMAZOO, MI
ZIP 49006-231
Phone: (269) 381-0503
Fax: (269) 381-0503

The provider's authorized official is Rebecca D Trask .
The authorized official title is Vp, Corporate Development and has the following contact phone number (502) 244-2774.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesUME0149319MICHIGANYes
2335E00000XProsthetic/Orthotic SupplierUME0149319MICHIGANX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14660734MEDICAIDMICHIGAN

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: 4/28/2024

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