Johnson, Amanda Marie

Johnson, Amanda Marie is an sole proprietor health care provider with primary practice located at 1725 E 3Rd St , Dayton OH 45403-1850. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Amanda Marie can be contacted via phone (937) 387-6395.

Contact Information

Primary practice address
1725 E 3Rd St Dayton OH 45403-1850
Phone: (937) 387-6395
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X LCDCII.161326 Ohio

Profile Details

NPI number 1891284717
LBN Legal business name Johnson, Amanda Marie
Credentials LCDCII
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2018
Last updated Jan 11th, 2019 - 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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