Antolik, John Joseph
Antolik, John Joseph is an sole proprietor health care provider with primary practice located at 728 Molalla Ave #C, Oregon City OR 97045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Antolik, John Joseph can be contacted via phone (503) 557-1233.Contact Information
Primary practice address
728 Molalla Ave #C
Oregon City OR 97045
Phone: (503) 557-1233
Fax: (503) 557-1310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD14415 | Oregon |
Profile Details
| NPI number | 1417927351 |
|---|---|
| LBN Legal business name | Antolik, John Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Oct 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417927351 | NPPES |
| Oregon | MEDICAID | 029165 |
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