Johnson, Wanda R

Johnson, Wanda R is an individual health care provider with primary practice located at 575 S 70Th St Ste 440, Lincoln NE 68510-2471. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiology Assistant, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Johnson, Wanda R can be contacted via phone (402) 484-5500.

Contact Information

Primary practice address
575 S 70Th St Ste 440 Lincoln NE 68510-2471
Phone: (402) 484-5500
Fax: (402) 484-5501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiology Assistant 2355A2700X 242 Nebraska
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 242 Nebraska

Profile Details

NPI number 1730197070
LBN Legal business name Johnson, Wanda R
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Nov 1st, 2010 - about 15 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 1730197070 NPPES
Nebraska Other 37016 BCBS
Nebraska Other 36809 BCBS
Nebraska MEDICAID 10025369300 BCBS
Nebraska MEDICAID 10025369400 BCBS
Nebraska Other P00855060 BCBS
Nebraska MEDICAID 100249918 00 BCBS

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