Antonovich, Stormy
Antonovich, Stormy is an sole proprietor health care provider with primary practice located at 10100 Betula Dr , Anchorage AK 99507-4141. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Antonovich, Stormy can be contacted via phone (907) 244-6402.Contact Information
Primary practice address
10100 Betula Dr
Anchorage AK 99507-4141
Phone: (907) 244-6402
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 104743 | Alaska |
Profile Details
| NPI number | 1376918912 |
|---|---|
| LBN Legal business name | Antonovich, Stormy |
| Credentials | CDM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2015 |
| Last updated | Dec 8th, 2015 - about 10 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 | 1376918912 | NPPES |
| Alaska | Other | 104743 | CERTIFIED DIRECT-ENTRY MIDWIFE |
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