Johnson, Mark Bernarr
Johnson, Mark Bernarr is an sole proprietor health care provider with primary practice located at 1801 19Th St , Golden CO 80401-1709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Johnson, Mark Bernarr can be contacted via phone (303) 271-5701.Contact Information
Primary practice address
1801 19Th St
Golden CO 80401-1709
Phone: (303) 271-5701
Fax: (303) 271-5702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 23982 | Colorado |
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | G57609 | California |
Profile Details
| NPI number | 1811903057 |
|---|---|
| LBN Legal business name | Johnson, Mark Bernarr |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1811903057 | NPPES |
| Colorado | MEDICAID | 01239821 |
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