Organization
ORTHOTIC CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SCOTT HINSHON (OWNER/ORTHOTIST)
(612) 871-1480
Entity
Organization
Contact information
Practice address
2545 CHICAGO AVE STE 412, MINNEAPOLIS, MN 55404-4566
(612) 871-1480
(612) 871-1498
Mailing address
2545 CHICAGO AVE STE 412, MINNEAPOLIS, MN 55404-4566
(612) 871-1480
(612) 871-1498
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032763800
—
MN
01
—
0543190001
MEDICARE PTAN
MN
Enumeration date
07/01/2009
Last updated
02/12/2021
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