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Contact Information

BRYAN J ANTONIUS, R.T.
10004 204TH AVE E
SUITE 2600
BONNEY LAKE, WA98391-6539
 Phone: 253-446-3983
 Fax: 253-862-5004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for BRYAN J ANTONIUS · (Male)

NPI Number 1073985057
Status Active
Credentials R.T.
Entity Individual
Enumeration date 10/29/2015
Last updated 10/29/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # CRT-17967
  • WA License # RT 60584477
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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