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Contact Information

AMANDA KRUS JOHNSTON, DO
520 N 4TH ST
SPRINGFIELD, IL62702
 Phone: 217-545-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for AMANDA KRUS JOHNSTON · (Female)

NPI # 1255781886
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/14/2016
Last updated 11/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125.068916
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
  • TAYLORVILLE MEMORIAL HOSPITAL - (Critical Access)
    201 EAST PLEASANT STREET
    TAYLORVILLE, IL 62568
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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