Johnson, Matthew Mark
Johnson, Matthew Mark is an individual health care provider with primary practice located at 160 E 6Th Pl Fitch Park, Mesa AZ 85201-5068. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Johnson, Matthew Mark can be contacted via phone (480) 668-4565.Contact Information
Primary practice address
160 E 6Th Pl Fitch Park
Mesa AZ 85201-5068
Phone: (480) 668-4565
Fax: (480) 668-4546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0338 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-214 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Illinois |
Profile Details
| NPI number | 1770556128 |
|---|---|
| LBN Legal business name | Johnson, Matthew Mark |
| Credentials | MS, ATC, CSCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 months 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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