Johnson, Mark A

Johnson, Mark A is an individual health care provider with primary practice located at 2211 Queen Anne Ave N , Seattle WA 98109-2313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Johnson, Mark A can be contacted via phone (206) 861-8500.

Contact Information

Primary practice address
2211 Queen Anne Ave N Seattle WA 98109-2313
Phone: (206) 861-8500
Fax: (206) 861-8501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD00042851 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00042851 Washington

Profile Details

NPI number 1528122751
LBN Legal business name Johnson, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jun 2nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528122751 NPPES
Washington Other 0193241 LABOR AND INDUSTRIES
Washington MEDICAID 8414070 LABOR AND INDUSTRIES

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