Healthcare Provider Details

I. General information

NPI: 1710927629
Provider Name (Legal Business Name): RICK L HULS LIMHP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 ASPEN CIR STE I
GRAND ISLAND NE
68803-2474
US

IV. Provider business mailing address

1932 ASPEN CIR STE I
GRAND ISLAND NE
68803-2474
US

V. Phone/Fax

Practice location:
  • Phone: 308-380-3697
  • Fax: 888-505-7909
Mailing address:
  • Phone: 308-380-3697
  • Fax: 888-505-7909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLMHP 1682
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCPC 1018
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: