Grant, Gordon Antonelli

Grant, Gordon Antonelli is an individual health care provider with primary practice located at 22262 S Garden Ave Apt 104 , Hayward CA 94541-6025. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Grant, Gordon Antonelli can be contacted via phone (510) 978-9655.

Contact Information

Primary practice address
22262 S Garden Ave Apt 104 Hayward CA 94541-6025
Phone: (510) 978-9655
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1548388010
LBN Legal business name Grant, Gordon Antonelli
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
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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