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NPI Code Detail

MEDICARE: DR. TERESHEL MAY JOHNSON D.C.

MEDICARE:  DR. TERESHEL MAY JOHNSON  D.C.
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
1111N00000XChiropractor1384NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
209702OTHERNEBLUE CROSS BLUE SHIELD
3247127OTHERNEMIDLANDS CHOICE

General Provider Information

NPI Number : 1760566087
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TERESHEL MAY JOHNSON D.C.
Provider Business Mailing Address
First Line : 5314 S. 190TH TERRACE
Second Line :
City : OMAHA
State : NE
Zip : 68135
Country : US
Telephone Number : 402-212-6443
Fax Number :
Provider Business Practice Location Address
First Line : 18460 WRIGHT ST
Second Line : SUITE 9
City : OMAHA
State : NE
Zip : 68130-2889
Country : US
Telephone Number : 402-933-5392
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. TERESHEL MAY JOHNSON D.C.” Practice Location

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