Stephen J. Antonello, Incorporated
LBN: Stephen J. Antonello, Incorporated
Stephen J. Antonello, Incorporated is an health care organization with primary practice located at 66 Thompson Ave E Suite 102, West St Paul MN 55118-3184. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Stephen J. Antonello, Incorporated can be contacted via phone (651) 688-2335, or through Antonello, Stephen John via phone (651) 688-2335.
Contact Information
Primary practice address
66 Thompson Ave E Suite 102
West St Paul MN 55118-3184
Phone: (651) 688-2335
Fax: (651) 688-2669
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP1390 | Minnesota |
Profile Details
NPI number | 1326147133 |
---|---|
LBN Legal business name | Stephen J. Antonello, Incorporated |
DBA Doing business as | |
Authorized official | Antonello, Stephen John PH.D. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 21st, 2006 |
Last updated | Jan 30th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326147133 | NPPES |
Other | DF8617 | RAILROAD MEDICARE GRP ID | |
Other | 103667 | RAILROAD MEDICARE GRP ID | |
Other | 59778AN | RAILROAD MEDICARE GRP ID | |
MEDICAID | 760249900 | RAILROAD MEDICARE GRP ID | |
Other | 6119337 | RAILROAD MEDICARE GRP ID | |
Other | 73464 | RAILROAD MEDICARE GRP ID |
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