Antonich, Michelle Ann
Antonich, Michelle Ann is an individual health care provider with primary practice located at 916 S 3Rd St , Mount Vernon WA 98273-4324. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Antonich, Michelle Ann can be contacted via phone (360) 336-5658.Contact Information
Primary practice address
916 S 3Rd St
Mount Vernon WA 98273-4324
Phone: (360) 336-5658
Fax: (360) 336-5655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 00000988 | Washington |
Profile Details
| NPI number | 1235276353 |
|---|---|
| LBN Legal business name | Antonich, Michelle Ann |
| Credentials | N.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Sep 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235276353 | NPPES |
| Washington | MEDICAID | 2006831 |
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