MEDICARE: HINZE CHIROPRACTIC CENTER P C

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	651	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	092170	OTHER	NE	PTAN
2	9515	OTHER	NE	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1508867151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HINZE CHIROPRACTIC CENTER P C

Provider Business Mailing Address
First Line	:	2421 23RD ST
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-3305
Country	:	US
Telephone Number	:	402-564-9447
Fax Number	:	402-564-7888

Provider Business Practice Location Address
First Line	:	2421 23RD ST
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-3305
Country	:	US
Telephone Number	:	402-564-9447
Fax Number	:	402-564-7888

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

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	11/25/2014

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Directions to “HINZE CHIROPRACTIC CENTER P C ” Practice Location

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