Provider Demographics
NPI:1508963745
Name:MORFEY'S LIMBS & BRACES, INC
Entity Type:Organization
Organization Name:MORFEY'S LIMBS & BRACES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:WILSON
Authorized Official - Last Name:MORFEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:608-255-3998
Mailing Address - Street 1:11109 W BLUEMOUND RD
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4124
Mailing Address - Country:US
Mailing Address - Phone:414-258-4311
Mailing Address - Fax:
Practice Address - Street 1:1820 S PARK ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-1214
Practice Address - Country:US
Practice Address - Phone:414-258-4311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORFEY'S LIMBS & BRACES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-20
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41773600Medicaid