Johnson, Matthew Mark

Johnson, Matthew Mark is an individual health care provider with primary practice located at 160 E 6Th Pl Fitch Park, Mesa AZ 85201-5068. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Johnson, Matthew Mark can be contacted via phone (480) 668-4565.

Contact Information

Primary practice address
160 E 6Th Pl Fitch Park Mesa AZ 85201-5068
Phone: (480) 668-4565
Fax: (480) 668-4546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0338 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT-214 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1770556128
LBN Legal business name Johnson, Matthew Mark
Credentials MS, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
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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