Antinozzi, Rex

Antinozzi, Rex is an individual health care provider with primary practice located at 4100 Park Forest Dr Suite 208, Traverse City MI 49684-7331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Antinozzi, Rex can be contacted via phone (231) 935-5710.

Contact Information

Primary practice address
4100 Park Forest Dr Suite 208 Traverse City MI 49684-7331
Phone: (231) 935-5710
Fax: (231) 935-9045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X RA049843 Michigan

Profile Details

NPI number 1427119429
LBN Legal business name Antinozzi, Rex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427119429 NPPES
Michigan Other OB81010 BCBSM
Michigan MEDICAID 4343067 BCBSM

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