Bravadas Fairfax Llc in Fairfax - Prosthetic/orthotic Supplier
Bravadas Fairfax Llc - NPI 1497822910
Bravadas Fairfax Llc is a Prosthetic/orthotic Supplier in Fairfax, Virginia. Bravadas Fairfax Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Bravadas Fairfax Llc is 1497822910. The last update date is 2011-02-06.
Bravadas Fairfax Llc's current location address is 11204 Lee Hwy, Fairfax, Virginia. You can contact this provider via phone number 7033524247 and fax number 7034030543. The mailing address for Bravadas Fairfax Llc is 11204 Lee Hwy, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bravadas Fairfax Llc |
|---|---|
| Address | 11204 Lee Hwy, Fairfax, Virginia |
| Phone Number | 7033524247 |
| Fax Number | 7034030543 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Linehan B Kevin |
| Telephone Number | 7034022826 |
NPI Number Detail
| NPI Number | 1497822910 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2011-02-06 |
Provider Mailing Address Detail
| Address | 11204 Lee Hwy |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220305007 |
| Phone Number | 7033524247 |
| Fax Number | 7034030543 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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What is the Bravadas Fairfax Llc's unique identification number?
The Bravadas Fairfax Llc has been assigned the NPI (National Provider Identifier) Number 1497822910 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Bravadas Fairfax Llc's facilities are geographically located?
The facilities of Bravadas Fairfax Llc are physically situated at the following location: 11204 Lee Hwy, Fairfax, VA, 220305007.
What is Bravadas Fairfax Llc's area of expertise and its corresponding taxonomy classification?
The Bravadas Fairfax Llc's field of specialization is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1497822910 assigned to Bravadas Fairfax Llc?
The Bravadas Fairfax Llc was issued its 1497822910 on 2006-11-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bravadas Fairfax Llc most recently updated?
The details pertaining to the Bravadas Fairfax Llc, including its address, specialty, and other relevant information, were last refreshed on 2011-02-06.
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