Tillges Certified Orthotic Prosthetic, Inc.

LBN: Tillges Certified Orthotic Prosthetic, Inc.
Tillges Certified Orthotic Prosthetic, Inc. is an health care organization with primary practice located at 817 Portland Ave , Minneapolis MN 55404-1145. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Tillges Certified Orthotic Prosthetic, Inc. can be contacted via phone (612) 341-3660, or through Tillges, Robert J via phone (651) 772-2665.

Contact Information

Primary practice address
817 Portland Ave Minneapolis MN 55404-1145
Phone: (612) 341-3660
Fax: (612) 341-3664
Website:
Map and Directions
Authorized official contact:
Name: Tillges, Robert J CPO, FAAOP
Phone: (651) 772-2665

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1700208337
LBN Legal business name Tillges Certified Orthotic Prosthetic, Inc.
DBA Doing business as
Authorized official Tillges, Robert J CPO, FAAOP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2014
Last updated Jan 16th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700208337 NPPES
Other 1018417 PREFERRED ONE
Other 102162 PREFERRED ONE
Other 2G045TI PREFERRED ONE
MEDICAID 78026500 PREFERRED ONE
Other 21446 PREFERRED ONE
MEDICAID 41783200 PREFERRED ONE
Other 8200377 PREFERRED ONE

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