Provider Demographics
NPI:1710148473
Name:MAE HEALTH, INC
Entity Type:Organization
Organization Name:MAE HEALTH, INC
Other - Org Name:FOOT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:DEMPSEY
Authorized Official - Last Name:RUBRICH
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:608-242-9273
Mailing Address - Street 1:4261 LIEN RD
Mailing Address - Street 2:SUITE O
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3689
Mailing Address - Country:US
Mailing Address - Phone:608-242-9273
Mailing Address - Fax:608-242-9275
Practice Address - Street 1:4261 LIEN RD
Practice Address - Street 2:SUITE O
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3689
Practice Address - Country:US
Practice Address - Phone:608-242-9273
Practice Address - Fax:608-242-9275
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAE HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-24
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI6103240001Medicare NSC