Antolchick, Jeanne Marie

Antolchick, Jeanne Marie is an individual health care provider with primary practice located at 12502 Usf Pine Drive , Tampa FL 33612-9499. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Antolchick, Jeanne Marie can be contacted via phone (813) 975-7130.

Contact Information

Primary practice address
12502 Usf Pine Drive Tampa FL 33612-9499
Phone: (813) 975-7130
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9202934 Florida

Profile Details

NPI number 1689834608
LBN Legal business name Antolchick, Jeanne Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Apr 10th, 2013 - about 12 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 1689834608 NPPES
Florida MEDICAID 000133200

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