Johnson, Scott Roger

Johnson, Scott Roger is an individual health care provider with primary practice located at 609 O St , Aurora NE 68818-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Scott Roger can be contacted via phone (402) 694-3191.

Contact Information

Primary practice address
609 O St Aurora NE 68818-1100
Fax: (402) 694-2146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19902 Nebraska

Profile Details

NPI number 1497761134
LBN Legal business name Johnson, Scott Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Feb 17th, 2021 - about 5 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 1497761134 NPPES
Nebraska Other 31872 BCBS NUMBER

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