Provider Demographics
NPI:1992748354
Name:LINN, NICHOLAS DEAN (DC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:DEAN
Last Name:LINN
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 1:100 W BENJAMIN AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-2913
Mailing Address - Country:US
Mailing Address - Phone:402-371-8864
Mailing Address - Fax:402-371-8864
Practice Address - Street 1:100 W BENJAMIN AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-2913
Practice Address - Country:US
Practice Address - Phone:402-371-8864
Practice Address - Fax:402-371-8864
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09556OtherBCBS NE
NE10025319300Medicaid
NE203743603OtherMUTUAL OF OMAHA
NE249401OtherMIDLANDS CHOICE
NE10025319300Medicaid
NE10025319300Medicaid