Antink, Naya N

Antink, Naya N is an individual health care provider with primary practice located at 1072 N Liberty St Suite 203, Boise ID 83704-8708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Antink, Naya N can be contacted via phone (208) 302-5800.

Contact Information

Primary practice address
1072 N Liberty St Suite 203 Boise ID 83704-8708
Fax: (208) 302-5855
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-9021 Idaho

Profile Details

NPI number 1811942816
LBN Legal business name Antink, Naya N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 29th, 2016 - about 9 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 1811942816 NPPES
Idaho MEDICAID 806974500

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