Antoniolli, Anita Lucia

Antoniolli, Anita Lucia is an individual health care provider with primary practice located at 5705 Monclova Rd Ste 203 , Maumee OH 43537-1877. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Antoniolli, Anita Lucia can be contacted via phone (419) 893-7812.

Contact Information

Primary practice address
5705 Monclova Rd Ste 203 Maumee OH 43537-1877
Phone: (419) 893-7812
Fax: (419) 893-7815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X L598752 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 35080460 Ohio

Profile Details

NPI number 1306905963
LBN Legal business name Antoniolli, Anita Lucia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Nov 3rd, 2023 - 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 1306905963 NPPES
Ohio Other 04502 PARAMOUNT
Ohio Other 106485 PARAMOUNT
Ohio MEDICAID 2422079 PARAMOUNT

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