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Individual
TODD E JOHNSON
Active
Individual
TODD E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
352
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-04472
UHC
—
01
—
01242
BCBS - SEPN
NE
01
—
01285
BCBS - LINC CARE
NE
01
—
07-00997
UHC
NE
01
—
240451
MIDLAND'S CHOICE
NE
05
—
470780857 10
—
NE
Enumeration date
08/13/2006
Last updated
02/28/2008
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