Johnson, Mark

Johnson, Mark is an individual health care provider with primary practice located at 1725 Gentle Breeze Ln , Encinitas CA 92024-1968. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Johnson, Mark can be contacted via phone (203) 257-9951.

Contact Information

Primary practice address
1725 Gentle Breeze Ln Encinitas CA 92024-1968
Phone: (203) 257-9951
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 000901 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA21728 California

Profile Details

NPI number 1578658746
LBN Legal business name Johnson, Mark
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 28th, 2016 - about 8 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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