Provider Demographics
NPI:1306116322
Name:HANSMEIER SPINE & SPORTS CHIROPRACTIC
Entity type:Organization
Organization Name:HANSMEIER SPINE & SPORTS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:CASEY
Authorized Official - Last Name:HANSMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-261-6841
Mailing Address - Street 1:3148 WILDBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2028
Mailing Address - Country:US
Mailing Address - Phone:402-261-6841
Mailing Address - Fax:402-261-6843
Practice Address - Street 1:4400 S 70TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6711
Practice Address - Country:US
Practice Address - Phone:402-261-6841
Practice Address - Fax:402-261-6843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty