Provider Demographics
NPI:1124171046
Name:MILLER-MEIER LIMB AND BRACE, INC.
Entity type:Organization
Organization Name:MILLER-MEIER LIMB AND BRACE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO, VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:563-243-4772
Mailing Address - Street 1:240 N BLUFF BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-7146
Mailing Address - Country:US
Mailing Address - Phone:563-243-4772
Mailing Address - Fax:563-243-4782
Practice Address - Street 1:240 N BLUFF BLVD STE 102
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-7146
Practice Address - Country:US
Practice Address - Phone:563-243-4772
Practice Address - Fax:563-243-4782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1811080955OtherNPI
IA0118281Medicaid
IA1811080955OtherNPI
IA0118281Medicaid
IL=========001Medicaid