Provider Demographics
NPI:1679867113
Name:HINZ, NATHAN LYON (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:LYON
Last Name:HINZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8647 ELDRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-5866
Mailing Address - Country:US
Mailing Address - Phone:303-725-5573
Mailing Address - Fax:
Practice Address - Street 1:1225 CIMARRON DR
Practice Address - Street 2:SUITE 201
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3812
Practice Address - Country:US
Practice Address - Phone:303-665-0159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6690111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor