Johnson, Tamara R

Johnson, Tamara R is an individual health care provider with primary practice located at 110 N Bailey , North Platte NE 69103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Tamara R can be contacted via phone (308) 534-6029.

Contact Information

Primary practice address
110 N Bailey North Platte NE 69103
Phone: (308) 534-6029
Fax: (308) 534-6961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17008 Nebraska

Profile Details

NPI number 1992739890
LBN Legal business name Johnson, Tamara R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 1st, 2011 - about 14 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 1992739890 NPPES
Other 97103 BCBS
Other 1702 BCBS
Other 32112 BCBS

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