Johnson, Mark Robert
Johnson, Mark Robert is an sole proprietor health care provider with primary practice located at 2780 Snelling Ave N Suite 301, Roseville MN 55113-7115. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johnson, Mark Robert can be contacted via phone (651) 633-9667.Contact Information
Primary practice address
2780 Snelling Ave N Suite 301
Roseville MN 55113-7115
Phone: (651) 633-9667
Fax: (651) 633-4203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2010 | Minnesota |
Profile Details
| NPI number | 1225189533 |
|---|---|
| LBN Legal business name | Johnson, Mark Robert |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 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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