Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 18587 | NE |
N | 207YP0228X | Pediatric Otolaryngology | 18587 | NE |
NPI | 1629134929 |
---|---|
Provider Name | Dr. David H Sjulin |
First Address | Omaha, NE 68131-2136 |
Second Address | Boys Town, NE 68010-7521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 13/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00853 | BCBS ENT (01) | NE |
00855 | BCBS BT (01) | NE |
1000385 | (05) | NE |
1000386 | (05) | NE |
1000387 | (05) | NE |
1000388 | (05) | NE |
1000410 | (05) | NE |
1000411 | (05) | NE |
1000413 | (05) | NE |
1000460 | (05) | NE |
1000470 | (05) | NE |
3136978 | (05) | IA |
3393 | MIDLANDS CHOICE (01) | NE |
4136978 | (05) | IA |
5136978 | (05) | IA |
6136978 | (05) | IA |
G11573 | (02) | NE |