Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 306 | NE |
N | 222Z00000X | Podiatrist | 306 | NE |
Y | 213ES0103X | Foot & Ankle Surgery | 306 | NE |
NPI | 1053354944 |
---|---|
Provider Name | Dr. Michelle Lynn Hinze |
First Address | Bellevue, NE 68123-4307 |
Second Address | Bellevue, NE 68123-4307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 02/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
099583 | MEDIARE GROUP (01) | NE |
10025518000 | (05) | NE |
10025518100 | (05) | NE |
10025640100 | (05) | NE |
100258518200 | (05) | NE |
1427348838 | GROUP NPI: LOWER EXTREMITY SURGERY GROUP, LLC (01) | NE |
V09470 | (02) |