MEDICARE: ERIC J BJORKMAN PT, CO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1985	NE
2	222Z00000X	Orthotist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841373016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC J BJORKMAN PT, CO

Provider Business Mailing Address
First Line	:	2130 S 17TH ST
Second Line	:	SUITE 200
City	:	LINCOLN
State	:	NE
Zip	:	68502-3750
Country	:	US
Telephone Number	:	402-476-6575
Fax Number	:	402-476-6576

Provider Business Practice Location Address
First Line	:	2130 S 17TH ST
Second Line	:	SUITE 200
City	:	LINCOLN
State	:	NE
Zip	:	68502-3750
Country	:	US
Telephone Number	:	402-476-6575
Fax Number	:	402-476-6576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	04/05/2013

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Directions to “ ERIC J BJORKMAN PT, CO” Practice Location

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