Baum-Johnson, Amanda

Baum-Johnson, Amanda is an individual health care provider with primary practice located at 1300 Post Rd Ste 204 , Fairfield CT 06824-6038. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Baum-Johnson, Amanda can be contacted via phone (203) 255-3669.

Contact Information

Primary practice address
1300 Post Rd Ste 204 Fairfield CT 06824-6038
Phone: (203) 255-3669
Fax: (203) 254-3790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 003837 Connecticut

Profile Details

NPI number 1457615338
LBN Legal business name Baum-Johnson, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Nov 28th, 2021 - about 3 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 1457615338 NPPES
Connecticut Other 003837 CT LICENSE

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