Johnson, Mark Lamont

Johnson, Mark Lamont is an sole proprietor health care provider with primary practice located at 5626 Cresthaven Ln , Toledo OH 43614-1241. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Johnson, Mark Lamont can be contacted via phone (419) 810-4375.

Contact Information

Primary practice address
5626 Cresthaven Ln Toledo OH 43614-1241
Phone: (419) 810-4375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 8702313 Ohio

Profile Details

NPI number 1609463801
LBN Legal business name Johnson, Mark Lamont
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2020
Last updated Dec 22nd, 2020 - about 4 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.

Request for update

Popular Providers