Johnson, Lionel D

Johnson, Lionel D is an individual health care provider with primary practice located at 1619 W 12Th St , Hastings NE 68901. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johnson, Lionel D can be contacted via phone (402) 463-5631.

Contact Information

Primary practice address
1619 W 12Th St Hastings NE 68901
Fax: (402) 463-5632
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 523 Nebraska

Profile Details

NPI number 1225112881
LBN Legal business name Johnson, Lionel D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 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 1225112881 NPPES
Nebraska MEDICAID 47055045500
Nebraska Other 9577

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