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
Fax: (503) 557-1310
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417927351 NPPES
Oregon MEDICAID 029165

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