Agatucci, Anthony Ray
Agatucci, Anthony Ray is an sole proprietor health care provider with primary practice located at 4809 Blackwolf Rd , Springfield IL 62711-7856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Agatucci, Anthony Ray can be contacted via phone (217) 787-6533.Contact Information
Primary practice address
4809 Blackwolf Rd
Springfield IL 62711-7856
Phone: (217) 787-6533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Illinois |
Profile Details
| NPI number | 1457534810 |
|---|---|
| LBN Legal business name | Agatucci, Anthony Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2007 |
| Last updated | Dec 8th, 2007 - about 17 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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