Healthcare Provider Details

I. General information

NPI: 1508867151
Provider Name (Legal Business Name): HINZE CHIROPRACTIC CENTER P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2005
Last Update Date: 11/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2421 23RD ST
COLUMBUS NE
68601-3305
US

IV. Provider business mailing address

2421 23RD ST
COLUMBUS NE
68601-3305
US

V. Phone/Fax

Practice location:
  • Phone: 402-564-9447
  • Fax: 402-564-7888
Mailing address:
  • Phone: 402-564-9447
  • Fax: 402-564-7888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number651
License Number StateNE

VIII. Authorized Official

Name: DR. RANDY RALPH HINZE
Title or Position: DOCTOR OF CHIROPRACTIC / OWNER
Credential: DC
Phone: 402-564-9447