Johnson, Mark Haley

Johnson, Mark Haley is an individual health care provider with primary practice located at Nlon Medical Department Bldg 76 Naval Submarine Base, Groton CT 06340. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Johnson, Mark Haley can be contacted via phone (860) 694-2795.

Contact Information

Primary practice address
Nlon Medical Department Bldg 76 Naval Submarine Base Groton CT 06340
Phone: (860) 694-2795
Fax: (860) 694-4326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1710199666
LBN Legal business name Johnson, Mark Haley
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated May 6th, 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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