Antonovich, Devin

Antonovich, Devin is an sole proprietor health care provider with primary practice located at 176 Mcswain Dr , West Columbia SC 29169-4825. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Antonovich, Devin can be contacted via phone (843) 797-3636.

Contact Information

Primary practice address
176 Mcswain Dr West Columbia SC 29169-4825
Phone: (843) 797-3636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 39925 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MMD.39925.LL South Carolina

Profile Details

NPI number 1770036410
LBN Legal business name Antonovich, Devin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2016
Last updated Feb 22nd, 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 1770036410 NPPES
South Carolina MEDICAID 399251

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