MEDICARE: MR. PETER ALPHONSUS JOHNSON MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801074290	MI

General Provider Information

NPI Number	:	1700870409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PETER ALPHONSUS JOHNSON MSW

Provider Business Mailing Address
First Line	:	PSC 41 BOX 3964
Second Line	:
City	:	APO AE
State	:	EAST ANGLIA
Zip	:	09464
Country	:	GB
Telephone Number	:	01638528070
Fax Number	:	01638528649

Provider Business Practice Location Address
First Line	:	UNIT 5210 BOX 230
Second Line	:
City	:	APO AE
State	:	EAST ANGLIA
Zip	:	09461-0230
Country	:	GB
Telephone Number	:	01638528070
Fax Number	:	01638528649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	07/21/2022

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