Provider Demographics
NPI:1558658641
Name:HINKELDEY, NATHAN ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ANDREW
Last Name:HINKELDEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5619 NW 86TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1819
Mailing Address - Country:US
Mailing Address - Phone:712-229-9268
Mailing Address - Fax:
Practice Address - Street 1:5619 NW 86TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1819
Practice Address - Country:US
Practice Address - Phone:712-229-9268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor