Antonelli, Nicholas

Antonelli, Nicholas is an individual health care provider with primary practice located at 2817 Reilly Rd Wamc Credentialing, Fort Bragg NC 28310. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Antonelli, Nicholas can be contacted via phone (517) 896-0261.

Contact Information

Primary practice address
2817 Reilly Rd Wamc Credentialing Fort Bragg NC 28310
Phone: (517) 896-0261
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36002358A Indiana

Profile Details

NPI number 1780044776
LBN Legal business name Antonelli, Nicholas
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2016
Last updated Jul 29th, 2022 - about 2 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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