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
Fax: (651) 688-2669
Website:
Authorized official contact:
Name: Antonello, Stephen John PH.D.

Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
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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