Johnson, Jon Mark

Johnson, Jon Mark is an individual health care provider with primary practice located at 608 S Hester St , Stillwater OK 74074-4516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Jon Mark can be contacted via phone (405) 377-8000.

Contact Information

Primary practice address
608 S Hester St Stillwater OK 74074-4516
Fax: (405) 377-8040
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15120 Oklahoma

Profile Details

NPI number 1598765497
LBN Legal business name Johnson, Jon Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598765497 NPPES
Oklahoma MEDICAID 100125430B

Popular Providers