Johnson, Scott Edward

Johnson, Scott Edward is an individual health care provider with primary practice located at 5848 S 300 E , Murray UT 84107-6121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Johnson, Scott Edward can be contacted via phone (801) 314-4900.

Contact Information

Primary practice address
5848 S 300 E Murray UT 84107-6121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 3764581205 Utah

Profile Details

NPI number 1972545861
LBN Legal business name Johnson, Scott Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 2nd, 2008 - about 17 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 1972545861 NPPES
Utah MEDICAID 942854057005

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