Antoszyk, Mark D.

Antoszyk, Mark D. is an individual health care provider with primary practice located at 920 Church St N , Concord NC 28025-2927. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Antoszyk, Mark D. can be contacted via phone (704) 783-1689.

Contact Information

Primary practice address
920 Church St N Concord NC 28025-2927
Phone: (704) 783-1689
Fax: (704) 783-2527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 157768 North Carolina

Profile Details

NPI number 1952387227
LBN Legal business name Antoszyk, Mark D.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jul 8th, 2007 - about 17 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 1952387227 NPPES
North Carolina MEDICAID 8052179

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