Johnson, Mark Daniel
Johnson, Mark Daniel is an individual health care provider with primary practice located at 13401 N Western Ave Ste 301 , Oklahoma City OK 73114-1411. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Johnson, Mark Daniel can be contacted via phone (405) 360-6764.Contact Information
Primary practice address
13401 N Western Ave Ste 301
Oklahoma City OK 73114-1411
Phone: (405) 360-6764
Fax: (405) 360-6769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 485 | Oklahoma |
Profile Details
| NPI number | 1508855677 |
|---|---|
| LBN Legal business name | Johnson, Mark Daniel |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Nov 26th, 2018 - about 6 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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