Johnson, Scott A

Johnson, Scott A is an individual health care provider with primary practice located at 12845 Fm 2154 Rd Suite 100, College Station TX 77845-3982. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Johnson, Scott A can be contacted via phone (979) 696-4800.

Contact Information

Primary practice address
12845 Fm 2154 Rd Suite 100 College Station TX 77845-3982
Phone: (979) 696-4800
Fax: (979) 695-6947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1137719 Texas

Profile Details

NPI number 1831126028
LBN Legal business name Johnson, Scott A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Oct 5th, 2017 - about 9 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 1831126028 NPPES
Texas Other 1137719 PHYSICAL THERAPY LICENSE
Texas Other 8T1331 PHYSICAL THERAPY LICENSE

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