Johnson, Stuart K

Johnson, Stuart K is an individual health care provider with primary practice located at 1414 W Fair Ave Ste 36, Marquette MI 49855-2675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Stuart K can be contacted via phone (906) 225-3864.

Contact Information

Primary practice address
1414 W Fair Ave Ste 36 Marquette MI 49855-2675
Phone: (906) 225-3864
Fax: (906) 225-3851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101014540 Michigan

Profile Details

NPI number 1861483901
LBN Legal business name Johnson, Stuart K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Apr 29th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861483901 NPPES
Michigan MEDICAID 4522390
Michigan Other P00041261

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