Organization
HICKEN CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY A HICKEN D.C. (OWNER/CHIROPRACTIC PHYSICIAN)
(308) 537-5500
Entity
Organization
Contact information
Practice address
512 10TH ST, GOTHENBURG, NE 69138-1924
(308) 537-5500
(308) 537-5502
Mailing address
512 10TH ST, GOTHENBURG, NE 69138-1924
(308) 537-5500
(308) 537-5502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1134
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026063400
—
NE
Enumeration date
08/03/2011
Last updated
08/03/2011
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