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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972688265 NPPES
Nebraska MEDICAID 47081184000
Nebraska Other 08363

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