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NPI Code Detail

MEDICARE: CHRISTOPHER JACOB HINZE PT

MEDICARE: CHRISTOPHER JACOB HINZE PT
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
1225100000XPhysical Therapist5501014324MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10B81315OTHERMIBLUE CROSS BLUE SHIELD MI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063743086
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER JACOB HINZE PT
Provider Business Mailing Address
First Line : 1000 PAVILIONS CIR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-3198
Country : US
Telephone Number : 231-932-3169
Fax Number : 231-932-3024
Provider Business Practice Location Address
First Line : 1000 PAVILIONS CIR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-3198
Country : US
Telephone Number : 231-932-3169
Fax Number : 231-932-3024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2010
Last Update Date : 01/05/2023

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