Johnston, Scott L

Johnston, Scott L is an sole proprietor health care provider with primary practice located at 801 E 4Th St Ste 20 , Gillette WY 82716-4061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnston, Scott L can be contacted via phone (307) 686-2600.

Contact Information

Primary practice address
801 E 4Th St Ste 20 Gillette WY 82716-4061
Fax: (307) 686-2602
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6083A Wyoming

Profile Details

NPI number 1912990458
LBN Legal business name Johnston, Scott L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Feb 25th, 2021 - about 4 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 1912990458 NPPES
Wyoming MEDICAID 113554600

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