Provider Demographics
NPI:1245124056
Name:ULRICH, PAUL CHRIS
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:CHRIS
Last Name:ULRICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 54
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68360-0054
Mailing Address - Country:US
Mailing Address - Phone:402-588-2457
Mailing Address - Fax:
Practice Address - Street 1:540 FRAZIER ST
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:NE
Practice Address - Zip Code:68360-2404
Practice Address - Country:US
Practice Address - Phone:402-641-5876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant