Antonius, Bryan James

Antonius, Bryan James is an sole proprietor health care provider with primary practice located at 10004 204Th Ave E Suite 2600, Bonney Lake WA 98391-6539. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Antonius, Bryan James can be contacted via phone (253) 446-3983.

Contact Information

Primary practice address
10004 204Th Ave E Suite 2600 Bonney Lake WA 98391-6539
Phone: (253) 446-3983
Fax: (253) 862-5004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X RT 60584477 Washington
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X CRT-17967 Arizona

Profile Details

NPI number 1073985057
LBN Legal business name Antonius, Bryan James
Credentials Radiologic Technologist (RT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2015
Last updated Oct 29th, 2015 - about 11 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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