Johnson, Amy W

Johnson, Amy W is an sole proprietor health care provider with primary practice located at 1001 W 10Th St Opw M200, Indianapolis IN 46202-2859. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Johnson, Amy W can be contacted via phone (317) 656-4260.

Contact Information

Primary practice address
1001 W 10Th St Opw M200 Indianapolis IN 46202-2859
Phone: (317) 656-4260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02004606A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11016694A Indiana
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 02004606A Indiana

Profile Details

NPI number 1932463445
LBN Legal business name Johnson, Amy W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2012
Last updated Mar 25th, 2025 - 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 1932463445 NPPES
Indiana Other 000001083932 ANTHEM PTAN
Indiana Other 000001103600 ANTHEM PTAN
Indiana MEDICAID 201102260 ANTHEM PTAN
Indiana Other 000001104167 ANTHEM PTAN

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