Individual
MR. ROYCE LYDELL HIEBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
417 9TH ST, GOTHENBURG, NE 69138
(308) 537-3691
(308) 537-3691
Mailing address
815 LAKE AVE, GOTHENBURG, NE 69138-1943
(308) 537-3691
(308) 537-3062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1061
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11576
MIDLANDS CHOICE
NE
01
—
350093505
MEDICARE RAILROAD
NE
01
—
37257
EMPLOYEE BENEFIT CON
—
05
—
47081586300
—
NE
01
—
60054
AETNA
—
01
—
62308
CIGNA HEALTHCARE
—
01
—
71079
PIONEER HEALTH PLAN
—
01
—
87042
UPREHS
NE
01
—
87043
FIRST HEALTH DIRECT
—
01
—
87726
UNITED HEALTHCARE
—
01
—
9812
BCBS
NE
Enumeration date
09/01/2006
Last updated
03/04/2020
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