Johnson, Antoine

Johnson, Antoine is an individual health care provider with primary practice located at 846 N 63Rd St , Philadelphia PA 19151-3443. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Johnson, Antoine can be contacted via phone (121) 538-8533.

Contact Information

Primary practice address
846 N 63Rd St Philadelphia PA 19151-3443
Phone: (121) 538-8533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 852373 Pennsylvania

Profile Details

NPI number 1316545379
LBN Legal business name Johnson, Antoine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2020
Last updated Oct 16th, 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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