Johnson, Mark Samuel
Johnson, Mark Samuel is an individual health care provider with primary practice located at 300 1St Capitol Dr , Saint Charles MO 63301-2844. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Mark Samuel can be contacted via phone (636) 947-5000.Contact Information
Primary practice address
300 1St Capitol Dr
Saint Charles MO 63301-2844
Phone: (636) 947-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2010013488 | Missouri |
Profile Details
| NPI number | 1568453132 |
|---|---|
| LBN Legal business name | Johnson, Mark Samuel |
| Credentials | PA-C MT ASCP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Mar 13th, 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.
Popular Providers
-
Tarr, Rachel S
1475 Kisker Rd Ste 200 , Saint Charles MO 63304-8788 -
Slater, Hannah Madison
725 S 5Th St , Saint Charles MO 63301-2913 -
Govro, Kelly E
1475 Kisker Rd Suite 200, Saint Charles MO 63304-8781 -
Quintana, Sofia Jeanette
3521 Eagles Hill Rdg , Saint Charles MO 63303-6483 -
Sztukowski, Russell A
2031 Zumbehl Rd , Saint Charles MO 63303-2723 -
Goettel, Casey Marie
2031 Zumbehl Rd , Saint Charles MO 63303-2723 -
Winston, Aaron Rey
12 Danbury Ct , Saint Charles MO 63303-5469 -
Pirih, Courtney
2031 Zumbehl Rd , Saint Charles MO 63303-2723