Johnny B Walker
Driver in Omaha, NE. Individual provider (NPI-1).
NPI number1962200907
StatusActive
Last updated in NPPESMar 5, 2025
Details
- NPI
- 1962200907
- Entity type
- Individual (NPI-1)
- Name
- Johnny B Walker
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2025
- Certification date
- Mar 5, 2025
- Last updated
- Mar 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
11340 Blondo StOmaha, NE 68164-3815
Phone 402-889-5686
Mailing address
6258 S 36th AveOmaha, NE 68107-3824
Phone 402-718-6359
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All 31 Driver providers in Omaha · All 40,392 providers in Omaha
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