Johnson, Antonio Demetrius

Johnson, Antonio Demetrius is an individual health care provider with primary practice located at 48 A St , Niagara Falls NY 14303-2009. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Johnson, Antonio Demetrius can be contacted via phone (716) 990-3308.

Contact Information

Primary practice address
48 A St Niagara Falls NY 14303-2009
Phone: (716) 990-3308
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 083043-1 New York

Profile Details

NPI number 1578936647
LBN Legal business name Johnson, Antonio Demetrius
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2015
Last updated Nov 11th, 2015 - about 10 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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