John J. Antalis, Md Inc

LBN: John J. Antalis, Md Inc
John J. Antalis, Md Inc is an health care organization with primary practice located at 1502 Deerpath Dr , Cambridge OH 43725-9240. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. John J. Antalis, Md Inc can be contacted via phone (740) 439-3020, or through Antalis, John J via phone (740) 439-3020.

Contact Information

Primary practice address
1502 Deerpath Dr Cambridge OH 43725-9240
Fax: (740) 432-5487
Website:
Authorized official contact:
Name: Antalis, John J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35060862 Ohio

Profile Details

NPI number 1780709592
LBN Legal business name John J. Antalis, Md Inc
DBA Doing business as John J. Antalis, Md Inc
Authorized official Antalis, John J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 20th, 2007
Last updated May 4th, 2016 - about 10 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 1780709592 NPPES
Ohio Other DG0782 RRB/ MEDICARE GROUP
Ohio Other 180036464 RRB/ MEDICARE GROUP
Ohio MEDICAID 0916003 RRB/ MEDICARE GROUP

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