Provider Demographics
NPI:1336926450
Name:NORTHERN BRACE COMPANY INC
Entity Type:Organization
Organization Name:NORTHERN BRACE COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:BINSON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:586-755-2300
Mailing Address - Street 1:26834 LAWRENCE
Mailing Address - Street 2:
Mailing Address - City:CENTER LINE
Mailing Address - State:MI
Mailing Address - Zip Code:48015-1262
Mailing Address - Country:US
Mailing Address - Phone:586-755-2300
Mailing Address - Fax:
Practice Address - Street 1:1314 E 7TH ST STE 105
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-2533
Practice Address - Country:US
Practice Address - Phone:833-828-4178
Practice Address - Fax:260-529-1806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies