Individual
DR. NATHANIEL ROBERT HISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6215 COVINGTON RD, FORT WAYNE, IN 46804-7311
(260) 755-5953
(260) 755-5956
Mailing address
6215 COVINGTON RD, FORT WAYNE, IN 46804-7311
(260) 755-5953
(260) 755-5956
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002335A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000539789
ANTHEM
IN
05
—
200877260A
—
IN
Enumeration date
08/28/2007
Last updated
07/15/2013
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