MEDICARE: HEISS CHIROPRACTIC AND ACUPUNCTURE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1569	NE

General Provider Information

NPI Number	:	1851528699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEISS CHIROPRACTIC AND ACUPUNCTURE, LLC

Provider Business Mailing Address
First Line	:	5455 RED ROCK LN STE 17
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68516-6511
Country	:	US
Telephone Number	:	402-420-1717
Fax Number	:	402-420-1701

Provider Business Practice Location Address
First Line	:	5455 RED ROCK LN STE 17
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68516-6511
Country	:	US
Telephone Number	:	402-420-1717
Fax Number	:	402-420-1701

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. NICHOLAS BRUCE HEISS
Credential	:	DC
Telephone Number	:	402-420-1717

Provider Enumeration Date	:	06/19/2009
Last Update Date	:	12/28/2018

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