Individual
ALAN K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 SAGE ST, GERING, NE 69341-3227
(308) 436-2101
(308) 436-3681
Mailing address
1275 SAGE ST, GERING, NE 69341-3227
(308) 436-2101
(308) 436-3681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12685
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080069705
MEDICARE RAILROAD
—
01
—
12685
STATE LICENSE
NE
01
—
283821A
RURAL HEALTH
—
Enumeration date
08/01/2006
Last updated
10/26/2007
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