Winters, Amanda Johnson

Winters, Amanda Johnson is an individual health care provider with primary practice located at 1225 S Gear Ave Ste 251 , West Burlington IA 52655-1688. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychosomatic Medicine, which is considered as her primary health care specialty. Winters, Amanda Johnson can be contacted via phone (319) 768-3700.

Contact Information

Primary practice address
1225 S Gear Ave Ste 251 West Burlington IA 52655-1688
Phone: (319) 768-3700
Fax: (319) 768-3712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 249100 Massachusetts
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 41342 Iowa

Profile Details

NPI number 1003020496
LBN Legal business name Winters, Amanda Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Mar 30th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003020496 NPPES
Massachusetts MEDICAID 110090130A

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