Johnson, Mark Joseph
Johnson, Mark Joseph is an sole proprietor health care provider with primary practice located at 98 W 66Th St , Richfield MN 55423-2511. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Mark Joseph can be contacted via phone (612) 866-1005.Contact Information
Primary practice address
98 W 66Th St
Richfield MN 55423-2511
Phone: (612) 866-1005
Fax: (612) 866-7805
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 9038 | Minnesota |
Profile Details
NPI number | 1043361975 |
---|---|
LBN Legal business name | Johnson, Mark Joseph |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 16th, 2007 |
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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