Johnson, Mark Rolfe

Johnson, Mark Rolfe is an individual health care provider with primary practice located at 32 W 200 S # 410 , Salt Lake City UT 84101-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Mark Rolfe can be contacted via phone (801) 960-4890.

Contact Information

Primary practice address
32 W 200 S # 410 Salt Lake City UT 84101-1603
Phone: (801) 960-4890
Fax: (801) 960-4890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 184901-1205 Utah

Profile Details

NPI number 1043202393
LBN Legal business name Johnson, Mark Rolfe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Apr 23rd, 2020 - about 6 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 1043202393 NPPES
Utah MEDICAID 1001176

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