Healthcare Provider Details

I. General information

NPI: 1457948291
Provider Name (Legal Business Name): JULIE MARIE HAMBURGER PLMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2020
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 W 3RD ST
RUSHVILLE NE
69360-4581
US

IV. Provider business mailing address

309 W 3RD ST
RUSHVILLE NE
69360-4581
US

V. Phone/Fax

Practice location:
  • Phone: 308-327-2026
  • Fax:
Mailing address:
  • Phone: 308-327-2026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12435
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: