Antalik, Thomas John

Antalik, Thomas John is an individual health care provider with primary practice located at 511 Ridge Rd , Roxboro NC 27573-4627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Antalik, Thomas John can be contacted via phone (336) 597-5462.

Contact Information

Primary practice address
511 Ridge Rd Roxboro NC 27573-4627
Fax: (336) 597-9428
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 37999 North Carolina

Profile Details

NPI number 1437119708
LBN Legal business name Antalik, Thomas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Nov 11th, 2009 - about 16 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 1437119708 NPPES
North Carolina MEDICAID 8912194

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