Antonelli, Roger
Antonelli, Roger is an individual health care provider with primary practice located at 2222 Philadelphia Dr , Dayton OH 45406-1813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Antonelli, Roger can be contacted via phone (937) 276-7623.Contact Information
Primary practice address
2222 Philadelphia Dr
Dayton OH 45406-1813
Phone: (937) 276-7623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35039014 | Ohio |
Profile Details
| NPI number | 1366458010 |
|---|---|
| LBN Legal business name | Antonelli, Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | May 12th, 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 | 1366458010 | NPPES |
| Ohio | MEDICAID | 2058606 | |
| Ohio | Other | 300042335 | |
| Ohio | Other | CK1297 |
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