Johnson, Michael Edward
Johnson, Michael Edward is an individual health care provider with primary practice located at 606 N Minnesota Ave Suite A, Hastings NE 68901-5256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Michael Edward can be contacted via phone (402) 463-6781.Contact Information
Primary practice address
606 N Minnesota Ave Suite A
Hastings NE 68901-5256
Phone: (402) 463-6781
Fax: (402) 463-7056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18087 | Nebraska |
Profile Details
| NPI number | 1760426852 |
|---|---|
| LBN Legal business name | Johnson, Michael Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760426852 | NPPES |
| Nebraska | MEDICAID | 47055106500 | |
| Nebraska | Other | 0235 |
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