Antonucci, John Vito
Antonucci, John Vito is an individual health care provider with primary practice located at 70 Fulton St , Pontiac MI 48341-2755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Antonucci, John Vito can be contacted via phone (248) 338-0300.Contact Information
Primary practice address
70 Fulton St
Pontiac MI 48341-2755
Phone: (248) 338-0300
Fax: (248) 338-0663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 4301081739 | Michigan |
Profile Details
| NPI number | 1619181369 |
|---|---|
| LBN Legal business name | Antonucci, John Vito |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Oct 29th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619181369 | NPPES |
| Michigan | Other | P01013930 | RAILROAD MEDICARE |
| Michigan | Other | 9209246 | RAILROAD MEDICARE |
| Michigan | Other | 200811 | RAILROAD MEDICARE |
| Michigan | Other | 1046261 | RAILROAD MEDICARE |
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