Organization
HANGER PROSTHETICS & ORTHOTICS EAST INC
Active
Parent organization
HANGER INC
Other names
Lair's Shoes a Hanger Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
155 1ST AVE SW STE S20, ROCHESTER, MN 55902-3136
(507) 282-3141
(507) 282-0554
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
(507) 282-3141
(507) 282-0554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722645
—
IA
05
—
41759300
—
WI
05
—
538942900
—
MN
Enumeration date
11/01/2005
Last updated
01/08/2019
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