Provider Demographics
NPI:1275020851
Name:MERCHANT CARD SOLUTIONS LLC
Entity Type:Organization
Organization Name:MERCHANT CARD SOLUTIONS LLC
Other - Org Name:MED BRACE SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-773-4215
Mailing Address - Street 1:1206 LASKIN ROAD
Mailing Address - Street 2:STE 104H
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451
Mailing Address - Country:US
Mailing Address - Phone:757-689-4541
Mailing Address - Fax:757-689-6178
Practice Address - Street 1:1206 LASKIN ROAD
Practice Address - Street 2:STE 104H
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451
Practice Address - Country:US
Practice Address - Phone:757-689-4541
Practice Address - Fax:757-689-6178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies