Johnson, Clark Peter

Johnson, Clark Peter is an sole proprietor health care provider with primary practice located at 213 North Ave , Battle Creek MI 49017-3430. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Johnson, Clark Peter can be contacted via phone (269) 968-6000.

Contact Information

Primary practice address
213 North Ave Battle Creek MI 49017-3430
Phone: (269) 968-6000
Fax: (269) 968-3015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901000962 Michigan
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 5901000962 Michigan
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 5901000962 Michigan

Profile Details

NPI number 1548220700
LBN Legal business name Johnson, Clark Peter
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Aug 20th, 2007 - 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 1548220700 NPPES
Michigan Other 4851350000 BCBSM
Michigan Other 0980190001 BCBSM
Michigan Other 5212079 BCBSM
Michigan MEDICAID 1342674 BCBSM
Michigan Other 2730002 BCBSM
Michigan Other 121508 BCBSM
Michigan Other P53895 BCBSM

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