Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 02875 | IA |
Y | 225100000X | Physical Therapist | 1156 | NE |
N | 2251E1200X | Ergonomics | 02875 | IA |
N | 225XE1200X | Ergonomics | 02875 | IA |
N | 2251E1200X | Ergonomics | 1156 | NE |
N | 225XE1200X | Ergonomics | 1156 | NE |
N | 2251G0304X | Physical Therapist - Geriatrics | 02875 | IA |
N | 2251G0304X | Physical Therapist - Geriatrics | 1156 | NE |
N | 2251H1300X | Human Factors | 02875 | IA |
N | 225XH1300X | Human Factors | 02875 | IA |
N | 2251H1300X | Human Factors | 1156 | NE |
N | 225XH1300X | Human Factors | 1156 | NE |
N | 2251S0007X | Physical Therapist - Sports | 02875 | IA |
N | 2251S0007X | Physical Therapist - Sports | 1156 | NE |
N | 2251X0800X | Physical Therapist - Orthopedic | 02875 | IA |
N | 2251X0800X | Physical Therapist - Orthopedic | 1156 | NE |
NPI | 1538112834 |
---|---|
Provider Name | Mr. John H Wear |
First Address | Omaha, NE 68122-2033 |
Second Address | Omaha, NE 68122-2033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 19/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09248 | BC/BS (01) | NE |
264838 | COVENTRY (01) | NE |
36530 | BC/BS NEBRASKA (01) | NE |
39856 | BCBS PIN1 (01) | NE |
516931 | (02) | NE |
98985 | BC/BS (01) | IA |
BA-5551648 | MULTIPLAN (01) | NE |
F244798 | MIDLANDS CHOICE (01) | NE |
NE-1945-1002 | PREFERRED THERAPY PROVIDE (01) | NE |