Antonio, Phillip John

Antonio, Phillip John is an individual health care provider with primary practice located at 18111 Nordhoff Street, California State Northridge , Northridge CA 91330-8287. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Antonio, Phillip John can be contacted via phone (818) 642-7785.

Contact Information

Primary practice address
18111 Nordhoff Street, California State Northridge Northridge CA 91330-8287
Phone: (818) 642-7785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X California

Profile Details

NPI number 1679082572
LBN Legal business name Antonio, Phillip John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated Sep 19th, 2019 - about 5 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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