Johnson, Scott Gene

Johnson, Scott Gene is an individual health care provider with primary practice located at 279 Main St , Chadron NE 69337-2355. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Johnson, Scott Gene can be contacted via phone (308) 432-3518.

Contact Information

Primary practice address
279 Main St Chadron NE 69337-2355
Fax: (308) 432-8933
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 1046 Nebraska

Profile Details

NPI number 1902874274
LBN Legal business name Johnson, Scott Gene
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jan 19th, 2023 - about last year

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 1902874274 NPPES
Other 350041886 RR MEDICARE PTAN
Other 10025769400 RR MEDICARE PTAN
Other 22531 RR MEDICARE PTAN
Other CN3439 RR MEDICARE PTAN
Other 9742 RR MEDICARE PTAN

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