Individual
DR. TERESHEL MAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
18460 WRIGHT ST, SUITE 9, OMAHA, NE 68130-2889
(402) 933-5392
Mailing address
5314 S. 190TH TERRACE, OMAHA, NE 68135
(402) 212-6443
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1384
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09702
BLUE CROSS BLUE SHIELD
NE
05
—
10025294100
—
NE
01
—
247127
MIDLANDS CHOICE
NE
Enumeration date
10/24/2006
Last updated
07/08/2007
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