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NPI Code Detail

MEDICARE: DR. JOHN DOBLEMAN MD

MEDICARE: DR. JOHN DOBLEMAN 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
1207Q00000XFamily Medicine Physician31374NE
2390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760913198
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN DOBLEMAN MD
Provider Business Mailing Address
First Line : 988102 NEBRASKA MEDICAL CTR
Second Line :
City : OMAHA
State : NE
Zip : 68198-8102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4200 DOUGLAS ST
Second Line :
City : OMAHA
State : NE
Zip : 68131-2705
Country : US
Telephone Number : 402-552-3222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 01/10/2019

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Directions to “ DR. JOHN DOBLEMAN MD” Practice Location

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