Provider Demographics
NPI:1174554505
Name:UP BRAS THAT FIT INC
Entity type:Organization
Organization Name:UP BRAS THAT FIT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROMPS
Authorized Official - Suffix:
Authorized Official - Credentials:CFM, LPN
Authorized Official - Phone:906-786-2724
Mailing Address - Street 1:816-B LUDINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ESCANABA
Mailing Address - State:MI
Mailing Address - Zip Code:49829
Mailing Address - Country:US
Mailing Address - Phone:906-786-2724
Mailing Address - Fax:906-786-2776
Practice Address - Street 1:816-B LUDINGTON ST
Practice Address - Street 2:
Practice Address - City:ESCANABA
Practice Address - State:MI
Practice Address - Zip Code:49829
Practice Address - Country:US
Practice Address - Phone:906-786-2724
Practice Address - Fax:906-786-2776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
335E00000X
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI87/5255100Medicaid
MI540B110480OtherBCBS
MI540B110480OtherBCBS
6011270001Medicare NSC