Antonelli, Gerard

Antonelli, Gerard is an sole proprietor health care provider with primary practice located at 25318 Little Mack Ave , Saint Clair Shores MI 48081-3369. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Antonelli, Gerard can be contacted via phone (586) 776-1666.

Contact Information

Primary practice address
25318 Little Mack Ave Saint Clair Shores MI 48081-3369
Phone: (586) 776-1666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14995 Michigan

Profile Details

NPI number 1699813881
LBN Legal business name Antonelli, Gerard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 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.

Request for update

Popular Providers