Su, Antonius

Su, Antonius is an individual health care provider with primary practice located at 595 N Dobson Rd Suite D-71, Chandler AZ 85224-4226. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Su, Antonius can be contacted via phone (480) 963-9000.

Contact Information

Primary practice address
595 N Dobson Rd Suite D-71 Chandler AZ 85224-4226
Phone: (480) 963-9000
Fax: (480) 963-0375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0496 Arizona

Profile Details

NPI number 1891783775
LBN Legal business name Su, Antonius
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Feb 3rd, 2021 - about 5 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 1891783775 NPPES
Arizona Other 1Z2392 HEALTHNET
Arizona MEDICAID 139148 HEALTHNET
Arizona Other AZ0193890 HEALTHNET

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