Provider Demographics
NPI:1134206121
Name:HINZE, ROBERT C (DPM)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:HINZE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 W D ST
Mailing Address - Street 2:
Mailing Address - City:MC COOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-3682
Mailing Address - Country:US
Mailing Address - Phone:308-345-3773
Mailing Address - Fax:308-345-3883
Practice Address - Street 1:306 W D ST
Practice Address - Street 2:
Practice Address - City:MCCOOK
Practice Address - State:NE
Practice Address - Zip Code:69001-3682
Practice Address - Country:US
Practice Address - Phone:308-345-3773
Practice Address - Fax:308-345-3883
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE293213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025118400Medicaid
NE10025118400Medicaid
NEV00789Medicare UPIN
NE5222500002Medicare NSC