Johnson, Amanda Irene

Johnson, Amanda Irene is an individual health care provider with primary practice located at 647 N Broad Street Ext Ste 204 , Grove City PA 16127-4604. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Johnson, Amanda Irene can be contacted via phone (724) 458-6245.

Contact Information

Primary practice address
647 N Broad Street Ext Ste 204 Grove City PA 16127-4604
Phone: (724) 458-6245
Fax: (724) 458-6244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC007161 Pennsylvania

Profile Details

NPI number 1285123828
LBN Legal business name Johnson, Amanda Irene
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2018
Last updated Mar 4th, 2024 - about 9 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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