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
Phone: (307) 686-2600
Fax: (307) 686-2602
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912990458 | NPPES |
| Wyoming | MEDICAID | 113554600 |
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