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Individual

SCOTT GENE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
279 MAIN ST, CHADRON, NE 69337-2355
(308) 432-3518
(308) 432-8933
Mailing address
279 MAIN ST, CHADRON, NE 69337-2355
(308) 432-3518
(308) 432-8933

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1046
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10025769400
MEDICAID GROUP
NE
01
22531
MIDLANDS CHOICE
01
350041886
RR MEDICARE PTAN
01
9742
BCBS
NE
01
CN3439
RR MEDICARE
Enumeration date
03/10/2006
Last updated
02/12/2026
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