Antonell, Eugene Peter

Antonell, Eugene Peter is an individual health care provider with primary practice located at 516 Hawthorn St Suite 2, N Dartmouth MA 02747-3733. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Antonell, Eugene Peter can be contacted via phone (508) 993-6467.

Contact Information

Primary practice address
516 Hawthorn St Suite 2 N Dartmouth MA 02747-3733
Phone: (508) 993-6467
Fax: (508) 993-6410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X MA, LIC # 80 Massachusetts

Profile Details

NPI number 1518001155
LBN Legal business name Antonell, Eugene Peter
Credentials BC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Dec 31st, 2014 - about 11 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 1518001155 NPPES
Massachusetts MEDICAID 1540491

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