Antico, David

Antico, David is an sole proprietor health care provider with primary practice located at 34 Smith Rd , Newport RI 02841-1007. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Antico, David can be contacted via phone (401) 841-4170.

Contact Information

Primary practice address
34 Smith Rd Newport RI 02841-1007
Phone: (401) 841-4170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN585298PA Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP013584 Pennsylvania

Profile Details

NPI number 1437596699
LBN Legal business name Antico, David
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2013
Last updated Mar 7th, 2023 - about 2 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 1437596699 NPPES
Other 14030003000461 MEDICARE DCN

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