Bott, Johna Marie

Bott, Johna Marie is an individual health care provider with primary practice located at 2125 State St Ste 5 , New Albany IN 47150-4901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bott, Johna Marie can be contacted via phone (502) 222-0028.

Contact Information

Primary practice address
2125 State St Ste 5 New Albany IN 47150-4901
Phone: (502) 222-0028
Fax: (502) 222-0029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1562 Kentucky

Profile Details

NPI number 1477865145
LBN Legal business name Bott, Johna Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2010
Last updated Dec 8th, 2020 - about 5 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 1477865145 NPPES
Kentucky MEDICAID 7100130280

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