Provider Demographics
NPI:1396874459
Name:HINRICHS CHIROPRACTIC INC.
Entity type:Organization
Organization Name:HINRICHS CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:HINRICHS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-934-5830
Mailing Address - Street 1:11304 DAVENPORT ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2630
Mailing Address - Country:US
Mailing Address - Phone:402-934-5830
Mailing Address - Fax:402-934-5831
Practice Address - Street 1:3101 N 120TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-2527
Practice Address - Country:US
Practice Address - Phone:402-934-5830
Practice Address - Fax:402-934-5831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1165111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty