Provider Demographics
NPI:1376127431
Name:HINRICHS, NATHANIEL (DC)
Entity type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:
Last Name:HINRICHS
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 1:10590 W PRAIRIE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:JUNIATA
Mailing Address - State:NE
Mailing Address - Zip Code:68955-2027
Mailing Address - Country:US
Mailing Address - Phone:402-519-0065
Mailing Address - Fax:
Practice Address - Street 1:1113 THEATRE DR STE 104
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-8465
Practice Address - Country:US
Practice Address - Phone:402-303-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherN/A