Johnson, Elizabeth Ann

Johnson, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 415 E John St , Oneill NE 68763-1353. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Johnson, Elizabeth Ann can be contacted via phone (402) 336-3666.

Contact Information

Primary practice address
415 E John St Oneill NE 68763-1353
Fax: (402) 336-3666
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5328 Nebraska

Profile Details

NPI number 1326112186
LBN Legal business name Johnson, Elizabeth Ann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326112186 NPPES
Nebraska Other 05711-NE BCBS OF NE
Nebraska MEDICAID 47069757400 BCBS OF NE

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