Provider Demographics
NPI:1871916635
Name:BRACING SOLUTIONS, LLC
Entity type:Organization
Organization Name:BRACING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAYERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-324-4428
Mailing Address - Street 1:7101 N GREEN BAY AVE
Mailing Address - Street 2:SUITE: 8
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-2800
Mailing Address - Country:US
Mailing Address - Phone:414-354-7670
Mailing Address - Fax:888-279-6473
Practice Address - Street 1:7101 N GREEN BAY AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53209-2800
Practice Address - Country:US
Practice Address - Phone:414-354-7670
Practice Address - Fax:888-279-6473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI7144150001OtherMEDICARE PTAN