Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN JOHNSON
Active Sole ProprietorSUSAN JOHNSON is a Podiatric Surgery healthcare provider located in MATTOON, Illinois. NPI 1740990803 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · MATTOON, IL
Registration Details
- NPI Number
- 1740990803
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2022 (3.7257845879151 yrs)
- Last Updated
- Nov 30, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
24 APPLE DRMATTOON, IL, 619389263Browse IL providers · Browse ZIP 61938
- Phone
- 2172731260
- Primary Specialty
-
Podiatric Surgery
3747A0650X
- Additional Specialty
- Podiatric Surgery
Other Podiatric Surgery Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| PAMELA KAY HUTTON | — | 1427604040 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.