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General NPI Number Information
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NPI Number | 1023823812
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Entity Type | Organization
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Legal Business Name | ORTHOTIC CARE SERVICES, LLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 7767 ELM CREEK BLVD N STE 208
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City | MAPLE GROVE
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State | MN
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Zip | 55369-7033
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Country | US
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Telephone | 612-871-1480
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Fax | 612-871-1498
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Provider Business Mailing Address
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Address Line | 2545 CHICAGO AVE STE 412
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-4566
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Country | US
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Telephone | 612-871-1480
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Fax | 612-871-1498
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Authorized Official
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Title or Position | OWNER, PRACTITIONER
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Name | PATRICK SCOTT HINSHON
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Credential |
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Telephone | 612-871-1480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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