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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013958537 | NPPES |
| Montana | MEDICAID | 0011687 |
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