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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992739890 | NPPES |
| Other | 97103 | BCBS | |
| Other | 1702 | BCBS | |
| Other | 32112 | BCBS |
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