Johnson, Scott R

Johnson, Scott R is an individual health care provider with primary practice located at 2859 Highway 45 Bypass , Jackson TN 38305-3618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Johnson, Scott R can be contacted via phone (731) 660-8360.

Contact Information

Primary practice address
2859 Highway 45 Bypass Jackson TN 38305-3618
Phone: (731) 660-8360
Fax: (731) 660-8377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 46687 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 46687 Tennessee

Profile Details

NPI number 1780638007
LBN Legal business name Johnson, Scott R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Dec 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 1780638007 NPPES
Tennessee MEDICAID 3709355

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