Provider Demographics
NPI:1851528699
Name:HEISS CHIROPRACTIC AND ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:HEISS CHIROPRACTIC AND ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:HEISS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-420-1717
Mailing Address - Street 1:5455 RED ROCK LN STE 17
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6511
Mailing Address - Country:US
Mailing Address - Phone:402-420-1717
Mailing Address - Fax:402-420-1701
Practice Address - Street 1:5455 RED ROCK LN STE 17
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6511
Practice Address - Country:US
Practice Address - Phone:402-420-1717
Practice Address - Fax:402-420-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1569111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty