Provider Demographics
NPI:1811165913
Name:WINS ENTERPRISES, INC.
Entity type:Organization
Organization Name:WINS ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PEDORTHIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:CHESTER
Authorized Official - Last Name:WINSKOWSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:CERT PEDORTHIST
Authorized Official - Phone:320-656-1363
Mailing Address - Street 1:50 14TH AVE E STE 114
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-4653
Mailing Address - Country:US
Mailing Address - Phone:320-656-1363
Mailing Address - Fax:320-656-0916
Practice Address - Street 1:50 14TH AVE E STE 114
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-4653
Practice Address - Country:US
Practice Address - Phone:320-656-1363
Practice Address - Fax:320-656-0916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN121066100Medicaid