Individual
NILA M NOVOTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4508 38TH ST, SUITE #152, COLUMBUS, NE 68601-1668
(402) 563-4500
(402) 563-3520
Mailing address
4508 38TH ST, SUITE #152, COLUMBUS, NE 68601-1668
(402) 563-4500
(402) 563-3520
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
17352
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040007717
RAILROAD MEDICARE #
NE
01
—
04465
BLUE CROSS OF NEBRASKA
NE
01
—
061181648-68601-A002
TRIWEST
NE
05
—
06118164800
—
NE
05
—
10025979300
—
NE
05
—
1538141593
—
NE
01
—
3891
MIDLANDS CHOICE PPO
NE
Enumeration date
09/29/2005
Last updated
02/12/2018
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