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TILLGES CERTIFIED ORTHOTIC PROSTHETIC INC. NPI 1700208337


NPI Information

NPI: 1700208337
Provider Name: TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
817 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 341-3660
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TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC. is a prosthetic orthotic supplier in Minneapolis, MN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC. NPI is 1700208337. The provider is registered as an organization entity type.

The provider's business location address is:

817 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55404-145
Phone: (612) 341-3660
Fax: (612) 341-3664

The provider's authorized official is Robert J Tillges .
The authorized official title is Owner/president and has the following contact phone number (651) 772-2665.

The enumeration date for this NPI number is 1/16/2014 and was last updated on 1/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102162OTHERUCARE
28200377OTHERMEDICA
31018417OTHERPREFERRED ONE
42G045TIOTHERBLUE CROSS BLUE SHIELD
578026500MEDICAIDMINNESOTA
641783200MEDICAIDWISCONSIN
721446OTHERHEALTHPARTNERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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