Healthcare Provider Details

I. General information

NPI: 1528891629
Provider Name (Legal Business Name): JULIA BLOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 E 14TH ST STE 3
HASTINGS NE
68901-3240
US

IV. Provider business mailing address

223 E 14TH ST STE 3
HASTINGS NE
68901-3240
US

V. Phone/Fax

Practice location:
  • Phone: 402-460-0367
  • Fax: 402-882-9100
Mailing address:
  • Phone: 402-460-0367
  • Fax: 402-882-9100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number14470
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: