Provider Demographics
NPI:1255496121
Name:BILL MERLETTI BRACE COMPANY, INC.
Entity type:Organization
Organization Name:BILL MERLETTI BRACE COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MERLETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-462-7181
Mailing Address - Street 1:131 E 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:PA
Mailing Address - Zip Code:15120-1503
Mailing Address - Country:US
Mailing Address - Phone:412-462-7181
Mailing Address - Fax:412-462-7520
Practice Address - Street 1:131 E 8TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-1503
Practice Address - Country:US
Practice Address - Phone:412-462-7181
Practice Address - Fax:412-462-7520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0229320001Medicare NSC