Antos, John M.

Antos, John M. is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Antos, John M. can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Fax: (570) 887-5775
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 139819-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD024966E Pennsylvania

Profile Details

NPI number 1417929480
LBN Legal business name Antos, John M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Mar 25th, 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 1417929480 NPPES
Pennsylvania MEDICAID 0009161350001
Pennsylvania Other 300125078
Pennsylvania Other CC9269
Pennsylvania MEDICAID 00785204
Pennsylvania Other CC8362
Pennsylvania Other GU039853
Pennsylvania Other P00207601

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