Antoon, Michael

Antoon, Michael is an individual health care provider with primary practice located at 612 W Smith St , Corry PA 16407-1152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Antoon, Michael can be contacted via phone (180) 083-4486.

Contact Information

Primary practice address
612 W Smith St Corry PA 16407-1152
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS003553L Pennsylvania

Profile Details

NPI number 1376511402
LBN Legal business name Antoon, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 22nd, 2008 - about 16 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 1376511402 NPPES
Pennsylvania Other 930102099 RAILROAD MEDICARE
Pennsylvania MEDICAID 0011129410008 RAILROAD MEDICARE

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