Johnson, Scott Raymond
Johnson, Scott Raymond is an individual health care provider with primary practice located at 12 High St Ste 401 , Lewiston ME 04240-7690. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Johnson, Scott Raymond can be contacted via phone (207) 795-5767.Contact Information
Primary practice address
12 High St Ste 401
Lewiston ME 04240-7690
Phone: (207) 795-5767
Fax: (207) 795-2732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD21930 | Maine |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 216275 | Massachusetts |
Profile Details
| NPI number | 1104896133 |
|---|---|
| LBN Legal business name | Johnson, Scott Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104896133 | NPPES |
| Massachusetts | Other | J25610 | BLUE CROSS |
| Massachusetts | Other | 216275 | BLUE CROSS |
| Massachusetts | Other | 0184144 | BLUE CROSS |
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