Antonsson, Erling K

Antonsson, Erling K is an sole proprietor health care provider with primary practice located at 12109 23Rd St , Santa Fe TX 77510-2058. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Antonsson, Erling K can be contacted via phone (415) 404-9266.

Contact Information

Primary practice address
12109 23Rd St Santa Fe TX 77510-2058
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 62115 Texas

Profile Details

NPI number 1922285675
LBN Legal business name Antonsson, Erling K
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2008
Last updated Jun 8th, 2021 - about 3 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 1922285675 NPPES
Texas MEDICAID 190062302
Texas MEDICAID 190062304

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