Johnson, Mark R.
Johnson, Mark R. is an individual health care provider with primary practice located at 100 Madison Ave , Morristown NJ 07960-6136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Johnson, Mark R. can be contacted via phone (973) 971-7165.Contact Information
Primary practice address
100 Madison Ave
Morristown NJ 07960-6136
Phone: (973) 971-7165
Fax: (973) 290-7521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA08685600 | New Jersey |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 25MA08685600 | New Jersey |
Profile Details
| NPI number | 1578670931 |
|---|---|
| LBN Legal business name | Johnson, Mark R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jan 7th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578670931 | NPPES |
| New York | MEDICAID | 02784701 |
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