Provider Demographics
NPI:1982038733
Name:HINZMAN, DAVE (RD, RN, CDE, LDN)
Entity Type:Individual
Prefix:
First Name:DAVE
Middle Name:
Last Name:HINZMAN
Suffix:
Gender:M
Credentials:RD, RN, CDE, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 PELLIS RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4555
Mailing Address - Country:US
Mailing Address - Phone:724-689-0434
Mailing Address - Fax:
Practice Address - Street 1:420 PELLIS RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4555
Practice Address - Country:US
Practice Address - Phone:724-689-0434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000772282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital