Johnson, Mark C

Johnson, Mark C is an individual health care provider with primary practice located at 1700 S Tamiami Trail , Sarasota FL 34239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Mark C can be contacted via phone (941) 917-8507.

Contact Information

Primary practice address
1700 S Tamiami Trail Sarasota FL 34239
Fax: (941) 917-8551
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME82651 Florida

Profile Details

NPI number 1588639520
LBN Legal business name Johnson, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588639520 NPPES
Other P00271271 RAILROAD MEDICARE
Other 31019 RAILROAD MEDICARE

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