Individual
MR. JOEL A EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
425 N 30TH ST, OMAHA, NE 68131-2100
(402) 452-5000
(402) 452-5028
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
89
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0585745
—
IA
01
—
06614
BCBS ENT
NE
05
—
100250037-00
—
NE
05
—
100250041-00
—
NE
05
—
1585745
—
IA
05
—
1948794
—
IA
05
—
2585745
—
IA
05
—
2948794
—
IA
05
—
3585745
—
IA
01
—
36801
BCBS BT
NE
05
—
3948794
—
IA
05
—
4585745
—
IA
05
—
4948794
—
IA
05
—
5948794
—
IA
05
—
6948794
—
IA
05
—
7948794
—
IA
05
—
8948794
—
IA
05
—
9948794
—
IA
Enumeration date
01/15/2007
Last updated
11/22/2010
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