Antonie, Chad

Antonie, Chad is an individual health care provider with primary practice located at 34503 9Th Ave S Ste 100 , Federal Way WA 98003-8726. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Antonie, Chad can be contacted via phone (253) 835-8700.

Contact Information

Primary practice address
34503 9Th Ave S Ste 100 Federal Way WA 98003-8726
Phone: (253) 835-8700
Fax: (253) 835-8755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP60616117 Washington
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP60616117 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP60616117 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 847945 Nevada

Profile Details

NPI number 1164897112
LBN Legal business name Antonie, Chad
Credentials AGNP, ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2015
Last updated Jan 29th, 2024 - about last year

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 1164897112 NPPES
Washington MEDICAID 2050385

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