Johnson, Marty J
Johnson, Marty J is an individual health care provider with primary practice located at 185 S 400 E Ste 100 , Bountiful UT 84010-4862. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Johnson, Marty J can be contacted via phone (801) 475-3482.Contact Information
Primary practice address
185 S 400 E Ste 100
Bountiful UT 84010-4862
Phone: (801) 475-3482
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11099893-4405 | Utah |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 11099893-4405 | Utah |
Profile Details
NPI number | 1215793799 |
---|---|
LBN Legal business name | Johnson, Marty J |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2024 |
Last updated | Apr 22nd, 2024 - about last year |
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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