Provider Demographics
NPI:1689918922
Name:HEALING HANDS CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:HEALING HANDS CHIROPRACTIC, PC
Other - Org Name:HEALING HANDS CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-441-4160
Mailing Address - Street 1:5925 N 28TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-9820
Mailing Address - Country:US
Mailing Address - Phone:402-441-4160
Mailing Address - Fax:402-441-4164
Practice Address - Street 1:5925 N 28TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-9820
Practice Address - Country:US
Practice Address - Phone:402-441-4160
Practice Address - Fax:402-441-4164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100253552-00Medicaid
NE279676OtherMEDICARE PTAN