Antalis, John J

Antalis, John J is an individual health care provider with primary practice located at 1502 Deerpath Dr , Cambridge OH 43725-9240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Antalis, John J can be contacted via phone (740) 439-3020.

Contact Information

Primary practice address
1502 Deerpath Dr Cambridge OH 43725-9240
Phone: (740) 439-3020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35060862 Ohio

Profile Details

NPI number 1689676777
LBN Legal business name Antalis, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Oct 23rd, 2012 - about 12 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 1689676777 NPPES
Ohio Other 180036464 RRB/MEDICARE PTAN
Ohio MEDICAID 0916003 RRB/MEDICARE PTAN
Ohio Other DG0782 RRB/MEDICARE PTAN

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