Joseph, Antony

Joseph, Antony is an individual health care provider with primary practice located at 11311 Bridgeport Way Sw Ste 309 , Lakewood WA 98499-3078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Joseph, Antony can be contacted via phone (253) 985-2733.

Contact Information

Primary practice address
11311 Bridgeport Way Sw Ste 309 Lakewood WA 98499-3078
Fax: (253) 985-2868
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23368 West Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 2013022998 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X MD61313407 Washington

Profile Details

NPI number 1164579983
LBN Legal business name Joseph, Antony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jan 5th, 2023 - about last year

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 1164579983 NPPES
Arkansas MEDICAID 202265001
Arkansas MEDICAID 2217795
Arkansas MEDICAID 1164579983

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