Individual
JOHN I CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S STATE ST, BASSETT, NE 68714-5062
(402) 684-2906
(402) 684-3822
Mailing address
801 S STATE ST, BASSETT, NE 68714-5062
(402) 684-2906
(402) 684-3822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13526
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35825
BC/BS
NE
Enumeration date
06/22/2005
Last updated
06/22/2010
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