Colantonio, Anthony James

Colantonio, Anthony James is an sole proprietor health care provider with primary practice located at 1034 Grove Street , Meadville PA 16335-2945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Colantonio, Anthony James can be contacted via phone (814) 333-5736.

Contact Information

Primary practice address
1034 Grove Street Meadville PA 16335-2945
Fax: (814) 333-5819
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD421359 Pennsylvania

Profile Details

NPI number 1174564504
LBN Legal business name Colantonio, Anthony James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Nov 29th, 2016 - about 8 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 1174564504 NPPES
Pennsylvania MEDICAID 0019660890002
Pennsylvania Other 320575
Pennsylvania Other 01477976
Pennsylvania MEDICAID 0019660980002

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