Alcantara, Anthony L

Alcantara, Anthony L is an individual health care provider with primary practice located at 36175 Harper Ave , Clinton Township MI 48035-3274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Alcantara, Anthony L can be contacted via phone (586) 741-3772.

Contact Information

Primary practice address
36175 Harper Ave Clinton Township MI 48035-3274
Phone: (586) 741-3772
Fax: (586) 741-4604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301054515 Michigan

Profile Details

NPI number 1194720532
LBN Legal business name Alcantara, Anthony L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Mar 14th, 2011 - about 14 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 1194720532 NPPES
Other 0H26188032 FED BLACK LUNG PROGRAM
Other 0Q26008 FED BLACK LUNG PROGRAM
Other 0Q26008055 FED BLACK LUNG PROGRAM
Other 1006439 FED BLACK LUNG PROGRAM
Other 143536 FED BLACK LUNG PROGRAM
Other P00063034 FED BLACK LUNG PROGRAM
MEDICAID 1194720532 FED BLACK LUNG PROGRAM
Other 455311710 FED BLACK LUNG PROGRAM

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