Antworth, Michael V
Antworth, Michael V is an individual health care provider with primary practice located at 1126 Grove Road , Greenville SC 29605-4620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Antworth, Michael V can be contacted via phone (864) 233-5722.Contact Information
Primary practice address
1126 Grove Road
Greenville SC 29605-4620
Phone: (864) 233-5722
Fax: (864) 233-6027
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 15156 | South Carolina |
Profile Details
NPI number | 1649254020 |
---|---|
LBN Legal business name | Antworth, Michael V |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2005 |
Last updated | Nov 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649254020 | NPPES |
South Carolina | MEDICAID | GP0876 |
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