Antczak, Connor James

Antczak, Connor James is an individual health care provider with primary practice located at 2101 W Enterprise Ave , Muncie IN 47304-5839. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Antczak, Connor James can be contacted via phone (765) 896-7140.

Contact Information

Primary practice address
2101 W Enterprise Ave Muncie IN 47304-5839
Phone: (765) 896-7140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1033952551
LBN Legal business name Antczak, Connor James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2024
Last updated Jun 13th, 2024 - about 2 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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