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:
Health care specialties
Specialty | Code | License # | 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.
Popular Providers
-
Butcher, Marc J
647 N Broad Street Ext Ste 204 , Grove City PA 16127-4604 -
Mazur, Mark J.
420 N James Rd , Columbus OH 43219-1834 -
Siebecker, Timothy J
334 Main St Ste 1, Dickson City PA 18519-1620 -
Spencer, Brian Patrick
675 North Broad Street Ext. #2, Grove City PA 16127-5808 -
Anzalone, Anthony C
2400 Maryland Rd Ste 30, Willow Grove PA 19090-1700 -
Black, Gregory A
4913 Harroun Rd , Sylvania OH 43560-2197 -
Sadeghi, Sara
647 N Broad Street Ext Ste 204 , Grove City PA 16127-4604 -
Tennity, John J.
1150 N 83Rd St , Lincoln NE 68505-2094