Antczak, Andrea

Antczak, Andrea is an individual health care provider with primary practice located at 2650 Netherland Dr , Dayton OH 45431-7735. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Antczak, Andrea can be contacted via phone (321) 210-5678.

Contact Information

Primary practice address
2650 Netherland Dr Dayton OH 45431-7735
Phone: (321) 210-5678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Ohio

Profile Details

NPI number 1851757017
LBN Legal business name Antczak, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2016
Last updated Jul 22nd, 2016 - about 8 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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