Antczak, Matthew Todd
Antczak, Matthew Todd is an sole proprietor health care provider with primary practice located at 669 E Calhoun St , Woodstock IL 60098-4262. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Antczak, Matthew Todd can be contacted via phone (815) 334-8334.Contact Information
Primary practice address
669 E Calhoun St
Woodstock IL 60098-4262
Phone: (815) 334-8334
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-007424 | Illinois |
Profile Details
| NPI number | 1740324888 |
|---|---|
| LBN Legal business name | Antczak, Matthew Todd |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Apr 29th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740324888 | NPPES |
| Illinois | Other | 05606277 | BLUE CROSS BLUE SHIELD |
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