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Contact Information

CARA J ANTOL, PA-C
11315 BRIDGEPORT WAY SW
ATTN: ED
LAKEWOOD, WA98499-3004
 Phone: 253-985-8700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CARA J ANTOL · (Female)

NPI Number 1275783920
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/30/2008
Last updated 04/09/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MA053512
  • WA License # 60518922
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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