| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANTHONY JOHNSON | 1467103952 | 2022-01-16 |
Anthony Johnson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1467103952. Registration indicates Anthony Johnson is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Anthony Johnson |
| Practice Office Address | 3125 RIDGE PIKE EAGLEVILLE, PA US |
| Practice Office Telephone | 6106302111 |
| Mailing Address | 3125 RIDGE PIKE EAGLEVILLE, PA 194035708 US |
| Business Telephone | 6106302111 |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |