Johnson, Mark David

Johnson, Mark David is an individual health care provider with primary practice located at 1008 Willa Springs Dr Ste 110, Winter Springs FL 32708-5205. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Johnson, Mark David can be contacted via phone (407) 637-5891.

Contact Information

Primary practice address
1008 Willa Springs Dr Ste 110 Winter Springs FL 32708-5205
Phone: (407) 637-5891
Fax: (407) 636-6205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X AS2511 Florida

Profile Details

NPI number 1295071579
LBN Legal business name Johnson, Mark David
Credentials HSA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2012
Last updated Sep 13th, 2018 - about 8 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 1295071579 NPPES
Florida Other J8194 BCBS
Florida Other 2559432 BCBS

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