Johnson, Mark E

Johnson, Mark E is an individual health care provider with primary practice located at 1200 Sixth Ave N Centracare Clinic, St Cloud MN 56303-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Johnson, Mark E can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 Sixth Ave N Centracare Clinic St Cloud MN 56303-2735
Phone: (320) 252-5131
Fax: (320) 240-2118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 33783 Minnesota

Profile Details

NPI number 1568454502
LBN Legal business name Johnson, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Dec 20th, 2011 - about 13 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 1568454502 NPPES
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