Johnson, Peter James

Johnson, Peter James is an individual health care provider with primary practice located at 107 W Centre St , Mahanoy City PA 17948-2605. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Johnson, Peter James can be contacted via phone (570) 449-8670.

Contact Information

Primary practice address
107 W Centre St Mahanoy City PA 17948-2605
Phone: (570) 449-8670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC005660 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC005660 Pennsylvania

Profile Details

NPI number 1114966264
LBN Legal business name Johnson, Peter James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 7th, 2023 - about last year

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 1114966264 NPPES
Pennsylvania Other SC005660 MEDICAL LICENSE PA

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