Johnson, Amy O
Johnson, Amy O is an individual health care provider with primary practice located at 911 Bypass Rd Bldg A , Pikeville KY 41501-1689. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Johnson, Amy O can be contacted via phone (606) 430-2205.Contact Information
Primary practice address
911 Bypass Rd Bldg A
Pikeville KY 41501-1689
Phone: (606) 430-2205
Fax: (606) 218-7507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2002-00267 | North Carolina |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 230012 | Massachusetts |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 44838 | Kentucky |
Profile Details
NPI number | 1003811985 |
---|---|
LBN Legal business name | Johnson, Amy O |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Sep 22nd, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003811985 | NPPES |
Kentucky | MEDICAID | 7100195700 | |
Kentucky | MEDICAID | 89126X4 |
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