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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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