Antico, Russel Vincent

Antico, Russel Vincent is an individual health care provider with primary practice located at 7060 Oakland Mills Rd Suite I, Columbia MD 21046-1694. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Antico, Russel Vincent can be contacted via phone (443) 259-0235.

Contact Information

Primary practice address
7060 Oakland Mills Rd Suite I Columbia MD 21046-1694
Fax: (443) 259-0236
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X S01939 Maryland

Profile Details

NPI number 1619048576
LBN Legal business name Antico, Russel Vincent
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - 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.

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