Johnson, Marise K

Johnson, Marise K is an sole proprietor health care provider with primary practice located at 1280 Burns Way , Kalispell MT 59901-3110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Legal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Johnson, Marise K can be contacted via phone (406) 755-5266.

Contact Information

Primary practice address
1280 Burns Way Kalispell MT 59901-3110
Phone: (406) 755-5266
Fax: (406) 755-0228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4632 Montana
Other Service Providers / Legal Medicine 173000000X 4632 Montana

Profile Details

NPI number 1013958537
LBN Legal business name Johnson, Marise K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Nov 27th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013958537 NPPES
Montana MEDICAID 0011687

Popular Providers