Herdman, John W
Herdman, John W is an individual health care provider with primary practice located at 1640 L St Ste C , Lincoln NE 68508-2581. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Herdman, John W can be contacted via phone (402) 489-9792.Contact Information
Primary practice address
1640 L St Ste C
Lincoln NE 68508-2581
Phone: (402) 489-9792
Fax: (402) 489-9793
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 451 | Nebraska |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 424 | Nebraska |
Profile Details
NPI number | 1972688265 |
---|---|
LBN Legal business name | Herdman, John W |
Credentials | PH.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2006 |
Last updated | Oct 28th, 2019 - about 5 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 | 1972688265 | NPPES |
Nebraska | MEDICAID | 47081184000 | |
Nebraska | Other | 08363 |
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