Johnson, Edwin Mark
Johnson, Edwin Mark is an individual health care provider with primary practice located at 802 N Dupont Blvd , Milford DE 19963-1006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Johnson, Edwin Mark can be contacted via phone (302) 422-6050.Contact Information
Primary practice address
802 N Dupont Blvd
Milford DE 19963-1006
Phone: (302) 422-6050
Fax: (302) 422-6685
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | C10003314 | Delaware |
Profile Details
NPI number | 1598732224 |
---|---|
LBN Legal business name | Johnson, Edwin Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2006 |
Last updated | May 28th, 2021 - about 3 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 | 1598732224 | NPPES |
Delaware | MEDICAID | 1000025911 |
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