Clark Peter Johnson
Podiatrist Foot Surgery Primary Podiatric Medicine
213 North Ave
Battle Creek
, Michigan 49017-3430
Clark Peter Johnson
Podiatrist Foot Surgery Primary Podiatric Medicine
213 North Ave
Battle Creek
, Michigan 49017-3430
(269) 968-3015
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Clark Peter Johnson
- 213 North Ave
- Battle Creek, MI
- Zip : 49017-3430
- Fax : (269) 968-3015
- Phone : (269) 968-6000
Second Address
- Clark Peter Johnson
- 213 North Ave
- Battle Creek, MI
- Zip : 49017-3430
- Fax : (269) 968-3015
- Phone : (269) 968-6000
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FAQs
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What type of doctor is Clark Peter Johnson
In what state does Clark Peter Johnson practice in?
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Is Clark Peter Johnson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901000962 | MI |
| Y | 222Z00000X | Podiatrist | 5901000962 | MI |
| N | 213EP1101X | Primary Podiatric Medicine | 5901000962 | MI |
| N | 213ES0131X | Foot Surgery | 5901000962 | MI |
National Provider Identifier
| NPI | 1548220700 |
|---|---|
| Provider Name | Clark Peter Johnson |
| First Address | Battle Creek, MI 49017-3430 |
| Second Address | Battle Creek, MI 49017-3430 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2006 |
| Last Update Date | 20/08/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0980190001 | ADMINASTAR DMERC (01) | MI |
| 121508 | PREFERRED CHOICES (01) | MI |
| 1342674 | (05) | MI |
| 2730002 | PHP IBA (01) | MI |
| 4851350000 | BCBSM (01) | MI |
| 5212079 | AETNA (01) | MI |
| P53895 | BLUE CARE NETWORK (01) | MI |
| T33937 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.