Johnson, Mitchell C

Johnson, Mitchell C is an individual health care provider with primary practice located at 810 E 23Rd St , Sioux Falls SD 57105-2135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, Mitchell C can be contacted via phone (605) 331-5890.

Contact Information

Primary practice address
810 E 23Rd St Sioux Falls SD 57105-2135
Phone: (605) 331-5890
Fax: (605) 336-3974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5151 South Dakota

Profile Details

NPI number 1275568693
LBN Legal business name Johnson, Mitchell C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jan 21st, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275568693 NPPES
South Dakota MEDICAID 6402150
South Dakota Other P00028184

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