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Contact Information

JULIA L BLACK, DO
2725 S 144TH ST STE 212
OMAHA, NE68144-5253
 Phone: 402-637-0800
 Fax: 402-637-0808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JULIA L BLACK · (Female)

NPI Number 1114379872
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/06/2016
Last updated 06/23/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IA License # DO-05227
  • IA License # R10715
  • KS License # 94-10056
  • NE License # 2258
Hospital affiliation(s)
  • NEBRASKA ORTHOPAEDIC HOSPITAL - (Acute Care)
    2808 SOUTH 143RD PLZ
    OMAHA, NE 68144
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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