Metschke, Jonathan Carl

Metschke, Jonathan Carl is an sole proprietor health care provider with primary practice located at 510 Bradford St , Seward NE 68434-1708. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Metschke, Jonathan Carl can be contacted via phone (402) 643-0535.

Contact Information

Primary practice address
510 Bradford St Seward NE 68434-1708
Phone: (402) 643-0535
Fax: (402) 643-0540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3522 Nebraska
Behavioral Health & Social Service Providers / Professional 101YP2500X 1769 Nebraska

Profile Details

NPI number 1306997986
LBN Legal business name Metschke, Jonathan Carl
Credentials M.A.-LMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Dec 16th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306997986 NPPES
Other 82199 BLUE CROSS AND BLUE SHIELD
MEDICAID 47084125026 BLUE CROSS AND BLUE SHIELD

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