Provider Demographics
NPI:1396492120
Name:OHLRICH, MAISIE R
Entity type:Individual
Prefix:
First Name:MAISIE
Middle Name:R
Last Name:OHLRICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 SAINT PAUL AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-2760
Mailing Address - Country:US
Mailing Address - Phone:800-541-3818
Mailing Address - Fax:
Practice Address - Street 1:9721 MARCEL CIR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68526-6049
Practice Address - Country:US
Practice Address - Phone:402-310-7231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program