Hinzman, Jackie M
Hinzman, Jackie M is an individual health care provider with primary practice located at 2662 Cornhusker Hwy Suite 100, Lincoln NE 68521-1464. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Hinzman, Jackie M can be contacted via phone (402) 423-0396.Contact Information
Primary practice address
2662 Cornhusker Hwy Suite 100
Lincoln NE 68521-1464
Phone: (402) 423-0396
Fax: (402) 423-0397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1214 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1214 | Nebraska |
Profile Details
| NPI number | 1922073618 |
|---|---|
| LBN Legal business name | Hinzman, Jackie M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Oct 28th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922073618 | NPPES |
| Nebraska | Other | 91177983268510A018 | TRI CARE |
| Nebraska | Other | 247113 | TRI CARE |
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