Individual
TODD E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5000 N 26TH ST, LINCOLN, NE 68521-4749
(402) 435-5300
(402) 435-5511
Mailing address
8055 O ST, STE 300, LINCOLN, NE 68510-2580
(402) 421-0896
(402) 421-0945
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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