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Contact Information

JASON R ANTKIES, LADC
369 MAIN ST
LEWISTON, ME04240-7030
 Phone: 207-782-3386
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JASON R ANTKIES · (Male)

NPI # 1588901706
Status Active
Credentials LADC
Entity Individual
Enumeration date 01/08/2013
Last updated 01/08/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • ME License # LC5263
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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