Antonis, Michael Sean

Antonis, Michael Sean is an individual health care provider with primary practice located at 20041 Riverside Commons Plaza , Ashburn VA 20147. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Antonis, Michael Sean can be contacted via phone (703) 466-0447.

Contact Information

Primary practice address
20041 Riverside Commons Plaza Ashburn VA 20147
Phone: (703) 466-0447
Fax: (703) 810-5313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO034203 District of Columbia
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 0102204828 Virginia

Profile Details

NPI number 1760429476
LBN Legal business name Antonis, Michael Sean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Apr 13th, 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 1760429476 NPPES
District of Columbia Other P00858308 RAILROAD MEDICARE

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