Antle, Dawn Renee
Antle, Dawn Renee is an individual health care provider with primary practice located at 1804 E 10Th St , Jeffersonville IN 47130-6016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Antle, Dawn Renee can be contacted via phone (812) 288-2488.Contact Information
Primary practice address
1804 E 10Th St
Jeffersonville IN 47130-6016
Phone: (812) 288-2488
Fax: (812) 288-6603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71002370A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71002370A | Kentucky |
Profile Details
| NPI number | 1518181098 |
|---|---|
| LBN Legal business name | Antle, Dawn Renee |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Sep 30th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518181098 | NPPES |
| Kentucky | Other | K162790 | MEDICARE PTAN |
| Kentucky | Other | 71002370A | MEDICARE PTAN |
| Kentucky | Other | 3007389 | MEDICARE PTAN |
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