Johnson, Marcus Tyrone

Johnson, Marcus Tyrone is an sole proprietor health care provider with primary practice located at 6226 Heather Glen Dr , Suffolk VA 23435-3133. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Johnson, Marcus Tyrone can be contacted via phone (757) 374-1741.

Contact Information

Primary practice address
6226 Heather Glen Dr Suffolk VA 23435-3133
Phone: (757) 374-1741
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 7924 Virginia

Profile Details

NPI number 1922880145
LBN Legal business name Johnson, Marcus Tyrone
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2023
Last updated Oct 23rd, 2023 - about 2 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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