Antonacos, Spiro
Antonacos, Spiro is an sole proprietor health care provider with primary practice located at 582 Central Ave , East Orange NJ 07018-1936. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Antonacos, Spiro can be contacted via phone (973) 673-7700.Contact Information
Primary practice address
582 Central Ave
East Orange NJ 07018-1936
Phone: (973) 673-7700
Fax: (973) 674-3943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00511900 | New Jersey |
Profile Details
| NPI number | 1174643688 |
|---|---|
| LBN Legal business name | Antonacos, Spiro |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Jun 20th, 2008 - about 16 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 | 1174643688 | NPPES |
| New Jersey | MEDICAID | 4997000 |
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