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Individual

JULIE J BARTELS-HISCOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2920 N 118TH CIR STE 105, OMAHA, NE 68164-3862
(402) 934-9711
Mailing address
2920 N 118TH CIR STE 105, OMAHA, NE 68164-3862
(402) 934-9711

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
891
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02041
BLUE CROSS BLUE SHIELD
NE
05
0593756
IA
01
6400524
UNITED HEALTHCARE
NE
01
F247453
MIDLANDS CHOICE
NE
Enumeration date
02/06/2007
Last updated
07/08/2007
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