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Individual
ERIC M JOHNSON
Active
Individual
ERIC M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21189
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-05784
UHC - LINC CARE
—
01
—
01-06679
UHC - SEPN
NE
01
—
03055
BCBS - SEPN
NE
05
—
100249469 00
—
NE
01
—
12369
MIDLAND'S CHOICE
NE
01
—
30511
BCBS - LINC CARE
NE
Enumeration date
07/21/2006
Last updated
02/28/2008
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