Provider Demographics
NPI:1205108040
Name:HINZE, MONTE JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:MONTE
Middle Name:JOSEPH
Last Name:HINZE
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 1:8174 S 185TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-6451
Mailing Address - Country:US
Mailing Address - Phone:402-415-9438
Mailing Address - Fax:
Practice Address - Street 1:17931 PIERCE PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2654
Practice Address - Country:US
Practice Address - Phone:402-415-9438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor