Johnson, Amy L
Johnson, Amy L is an individual health care provider with primary practice located at 2519 College Ave , Conway AR 72034-6135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Amy L can be contacted via phone (501) 450-3920.Contact Information
Primary practice address
2519 College Ave
Conway AR 72034-6135
Phone: (501) 450-3920
Fax: (501) 450-7718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | E-4016 | Arkansas |
Profile Details
| NPI number | 1730184581 |
|---|---|
| LBN Legal business name | Johnson, Amy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jun 24th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730184581 | NPPES |
| Arkansas | MEDICAID | 154394001 |
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