Antoniello, Michael J
Antoniello, Michael J is an individual health care provider with primary practice located at 149 North St Emergency Department, Waterville ME 04901-4974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Antoniello, Michael J can be contacted via phone (207) 872-1303.Contact Information
Primary practice address
149 North St Emergency Department
Waterville ME 04901-4974
Phone: (207) 872-1303
Fax: (207) 872-1302
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 016913 | Maine |
Profile Details
NPI number | 1568470953 |
---|---|
LBN Legal business name | Antoniello, Michael J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 3rd, 2006 |
Last updated | Apr 12th, 2011 - about 13 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 | 1568470953 | NPPES |
Maine | MEDICAID | 154420000 |
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