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Individual

WILLIAM HAROLD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3400 W NORFOLK AVE, NORFOLK, NE 68701-7701
(308) 382-7744
(308) 382-7744
Mailing address
PO BOX 1611, NORFOLK, NE 68702-1611
(308) 382-7744
(308) 382-7744

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
60150
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025009800
NE
01
38225
BCBS OF NE
NE
01
P00046371
RR MEDICARE
NE
Enumeration date
11/08/2005
Last updated
10/03/2007
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