Provider Demographics
NPI:1811076615
Name:HEDLUND, TODD AARON (DC)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:AARON
Last Name:HEDLUND
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 1:3245 PIONEERS BLVD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-5943
Mailing Address - Country:US
Mailing Address - Phone:402-484-0200
Mailing Address - Fax:402-484-5677
Practice Address - Street 1:4210 PIONEER WOODS DR
Practice Address - Street 2:SUITE B
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-7561
Practice Address - Country:US
Practice Address - Phone:402-484-0200
Practice Address - Fax:402-484-5677
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE968111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025154200Medicaid
NE14492OtherMIDLANDS CHOICE
NE968OtherSTATE LICENSE NUMBER
NE09751OtherBCBS OF NE
NE278270Medicare ID - Type Unspecified
NE968OtherSTATE LICENSE NUMBER