Johnson, Mark

Johnson, Mark is an individual health care provider with primary practice located at 385 Main St South Union Square, Southbury CT 06488. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Johnson, Mark can be contacted via phone (203) 264-7999.

Contact Information

Primary practice address
385 Main St South Union Square Southbury CT 06488
Fax: (203) 264-7477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 022134 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 022134 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 022134 Connecticut

Profile Details

NPI number 1780618694
LBN Legal business name Johnson, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 17 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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