Johnson, Amy L

Johnson, Amy L is an individual health care provider with primary practice located at 515 22Nd Ave , Monroe WI 53566-1569. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Amy L can be contacted via phone (608) 324-2000.

Contact Information

Primary practice address
515 22Nd Ave Monroe WI 53566-1569
Phone: (608) 324-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-079834 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26994 Wisconsin

Profile Details

NPI number 1619998242
LBN Legal business name Johnson, Amy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 21st, 2020 - about 6 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 1619998242 NPPES
Other 1000257 PHYSICIANS PLUS
Other L86567 PHYSICIANS PLUS
Other 90002361 PHYSICIANS PLUS
Other 390808509 PHYSICIANS PLUS
Other 10869 PHYSICIANS PLUS
Other 30661700 PHYSICIANS PLUS
MEDICAID 30661700 PHYSICIANS PLUS
Other 390808509 PHYSICIANS PLUS
Other 390808509 PHYSICIANS PLUS
Other 39080850914 PHYSICIANS PLUS
Other 370004381 PHYSICIANS PLUS
Other 39080850930 PHYSICIANS PLUS
Other 39080850960 PHYSICIANS PLUS

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