Johnson, Scott A

Johnson, Scott A is an individual health care provider with primary practice located at 611 6Th St Se , Watertown SD 57201-4938. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johnson, Scott A can be contacted via phone (605) 882-0100.

Contact Information

Primary practice address
611 6Th St Se Watertown SD 57201-4938
Fax: (605) 882-6911
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X SD845 South Dakota

Profile Details

NPI number 1164586590
LBN Legal business name Johnson, Scott A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Aug 10th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164586590 NPPES
South Dakota MEDICAID 7602182

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