Johnson, Mark
Johnson, Mark is an individual health care provider with primary practice located at 6161 S Yale Ave , Tulsa OK 74136-1902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Johnson, Mark can be contacted via phone (918) 494-1805.Contact Information
Primary practice address
6161 S Yale Ave
Tulsa OK 74136-1902
Phone: (918) 494-1805
Fax: (918) 494-4573
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 1205298122 | Oklahoma |
Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 6194 | Oklahoma |
Profile Details
NPI number | 1205298122 |
---|---|
LBN Legal business name | Johnson, Mark |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2016 |
Last updated | Mar 20th, 2024 - about 8 months 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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