Provider Demographics
NPI:1639355860
Name:HASTINGS FAMILY CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:HASTINGS FAMILY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:4024-631-9055
Mailing Address - Street 1:208 S BURLINGTON AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-5904
Mailing Address - Country:US
Mailing Address - Phone:402-463-1955
Mailing Address - Fax:402-463-0053
Practice Address - Street 1:208 S BURLINGTON AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-5904
Practice Address - Country:US
Practice Address - Phone:402-463-1955
Practice Address - Fax:402-463-0053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1194111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty