Doctor Name: | MR. VINCENT ROBERT ANTINORE |
NPI Number: | 1003028887 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 121 W Josie Ave Hillsboro, OH - 451331222 |
Business Phone Number: | 9373938399 |
Business Fax Number: | |
Mailing Address: | 121 W Josie Ave, HILLSBORO |
State: | OH |
Postal Code: | 451331222 |
Phone Number: | 9373938399 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |