Antonini, Michael J

Antonini, Michael J is an individual health care provider with primary practice located at 11795 Education St Ste 201 , Auburn CA 95602-2469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Antonini, Michael J can be contacted via phone (530) 823-0701.

Contact Information

Primary practice address
11795 Education St Ste 201 Auburn CA 95602-2469
Phone: (530) 823-0701
Fax: (530) 823-0737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G84850 California

Profile Details

NPI number 1700924941
LBN Legal business name Antonini, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Sep 26th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700924941 NPPES
California MEDICAID GR0091920

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