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NPI Lookup from the NPI Registry — National Provider Identifier Database

MARK C JOHNSON, PHD – NPI #1801961214
Clinical


Contact Information

MARK C JOHNSON, PHD
2456 CHRISTIAN STREET
SUITE 204
WHITE RIVER JUNCTION, VT05001-1222
 Phone: 802-296-3030
 Fax: 802-296-8407
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Clinical

103TC0700X
Indicates primary specialty
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NPI Information for MARK C JOHNSON · (Male)

NPI Number 1801961214
Credentials PHD
Entity Individual
Enumeration date 11/21/2006
Last updated 07/08/2007 - About 7 years ago
Sole proprietor 1 No
Identifiers
VT License # 280
VT Medicaid 1002039
VT Medicare (Unspecified) VN3738
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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