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Individual
SCOTT ALLEN JOHNSON
Active
Individual
SCOTT ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0876
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115369
—
MS
01
—
3203A
BC/BS OF LA
LA
01
—
5219536
AETNA NETWORK
MS
01
—
730-69128
BC/BS OF AL
AL
01
—
869651
FIRST HEALTH NETWORK
MS
01
—
CP43105
COMPLETE HEALTH
MS
Enumeration date
03/31/2006
Last updated
08/07/2008
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