Antonathens, Vicki Maria

Antonathens, Vicki Maria is an individual health care provider with primary practice located at 19723 Allen Rd Brownstown Twp, Brownstown Twp MI 48183-1021. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Antonathens, Vicki Maria can be contacted via phone (734) 479-8383.

Contact Information

Primary practice address
19723 Allen Rd Brownstown Twp Brownstown Twp MI 48183-1021
Phone: (734) 479-8383
Fax: (734) 479-8382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 5901001086 Michigan

Profile Details

NPI number 1407852510
LBN Legal business name Antonathens, Vicki Maria
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Dec 16th, 2014 - about 10 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 1407852510 NPPES
Michigan MEDICAID 1701904

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