Provider Demographics
NPI:1982771192
Name:RICE, JULANE ELYSE
Entity Type:Individual
Prefix:MS
First Name:JULANE
Middle Name:ELYSE
Last Name:RICE
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 1:107 E 12TH ST
Mailing Address - Street 2:# 3
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467
Mailing Address - Country:US
Mailing Address - Phone:402-362-2778
Mailing Address - Fax:
Practice Address - Street 1:1100 LINCOLN AVE
Practice Address - Street 2:STE F
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467
Practice Address - Country:US
Practice Address - Phone:402-362-6128
Practice Address - Fax:402-362-7012
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
8040OtherBCBS
NE470528515-93Medicaid
NE470528515-86Medicaid
NE470528515-89Medicaid
NE470528515-94Medicaid
98189OtherBCBS AUX
NE470528515-96Medicaid
NE470528515-89Medicaid