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NPI Code Detail

MEDICARE: DR. TREVIN MICHEAL BALL MD

MEDICARE: DR. TREVIN MICHEAL BALL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1538091046
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TREVIN MICHEAL BALL MD
Provider Business Mailing Address
First Line : 2501 CAPEHART RD
Second Line :
City : OFFUTT AFB
State : NE
Zip : 68113-1043
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2501 CAPEHART RD
Second Line :
City : OFFUTT AFB
State : NE
Zip : 68113-1043
Country : US
Telephone Number : 402-294-2056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2026
Last Update Date : 06/02/2026

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