Healthcare Provider Details

I. General information

NPI: 1720886716
Provider Name (Legal Business Name): MR. JOSHUA CHRISTIAN URBACH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 N 68TH ST
LINCOLN NE
68505-1615
US

IV. Provider business mailing address

1660 G ST APT 301
LINCOLN NE
68508-3730
US

V. Phone/Fax

Practice location:
  • Phone: 402-643-0287
  • Fax:
Mailing address:
  • Phone: 402-641-1963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: