Johnson, Mark Herbert
Johnson, Mark Herbert is an sole proprietor health care provider with primary practice located at 2104 Oliver Ave S , Minneapolis MN 55405-2437. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Johnson, Mark Herbert can be contacted via phone (612) 377-6084.Contact Information
Primary practice address
2104 Oliver Ave S
Minneapolis MN 55405-2437
Phone: (612) 377-6084
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 19187 | Minnesota |
Profile Details
| NPI number | 1275612624 |
|---|---|
| LBN Legal business name | Johnson, Mark Herbert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 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.
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