Al-Dehneh, Anthony

Al-Dehneh, Anthony is an individual health care provider with primary practice located at 129 E. Redstone Ave Suite A, Crestview FL 32539-5350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Al-Dehneh, Anthony can be contacted via phone (850) 682-7212.

Contact Information

Primary practice address
129 E. Redstone Ave Suite A Crestview FL 32539-5350
Phone: (850) 682-7212
Fax: (850) 682-6302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS12174 Florida

Profile Details

NPI number 1518902634
LBN Legal business name Al-Dehneh, Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 17th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518902634 NPPES
New Jersey MEDICAID 0170411

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