Provider Demographics
NPI:1023380565
Name:MACHMER, JOHANN RUTH (BS)
Entity Type:Individual
Prefix:
First Name:JOHANN
Middle Name:RUTH
Last Name:MACHMER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 S 59TH ST
Mailing Address - Street 2:STE 201
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2386
Mailing Address - Country:US
Mailing Address - Phone:402-488-0101
Mailing Address - Fax:402-488-0301
Practice Address - Street 1:5600 S 59TH ST
Practice Address - Street 2:STE 201
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-2386
Practice Address - Country:US
Practice Address - Phone:402-488-0101
Practice Address - Fax:402-488-0301
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor