Individual
ERIC M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 ARIES DR, LINCOLN, NE 68512-9100
(402) 420-1300
(402) 420-1326
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
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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