Provider Demographics
NPI:1497262828
Name:ALL PRO BRACE LLC
Entity Type:Organization
Organization Name:ALL PRO BRACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-212-7566
Mailing Address - Street 1:5150 MILLS INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-1958
Mailing Address - Country:US
Mailing Address - Phone:440-785-7674
Mailing Address - Fax:
Practice Address - Street 1:5150 MILLS INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-1958
Practice Address - Country:US
Practice Address - Phone:440-212-7566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies