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Contact Information

MARY J JOHNSTON, DO
1919 LATHROP ST
FAIRBANKS, AK99701-5937
 Phone: 907-458-2619
 Fax: 907-374-1089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARY J JOHNSTON · (Female)

NPI # 1649618059
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/07/2013
Last updated 10/20/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • AK License # 111064
  • AK Medicaid 1652171
Hospital affiliation(s)
  • FAIRBANKS MEMORIAL HOSPITAL - (Acute Care)
    1650 COWLES STREET
    FAIRBANKS, AK 99701
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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