National Provider Identifier Database

CLARK P JOHNSON, DPM – NPI #1548220700
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

CLARK P JOHNSON, DPM
213 NORTH AVE
BATTLE CREEK, MI49017-3430
Phone: 269-968-6000
Fax: 269-968-3015
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Primary Podiatric Medicine 213EP1101X
Surgery, Foot 213ES0131X

* Indicates primary specialty

NPI Profile & details for CLARK P JOHNSON

NPI Number 1548220700
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/23/2006
Last updated 08/20/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • MI License #: 5901000962
  • MI Medicaid: 1342674
  • MI Other: 0980190001 ADMINASTAR DMERC
  • MI Other: 5212079 AETNA
  • MI Other: 4851350000 BCBSM
  • MI Other: P53895 BLUE CARE NETWORK
  • MI Other: 2730002 PHP IBA
  • MI Other: 121508 PREFERRED CHOICES
Hospital affiliation n/a

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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