Individual
DR. MICHAEL E. ANTON
Active
Individual
DR. MICHAEL E. ANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21512
WV
2085R0202X
Diagnostic Radiology Physician
MC-203
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718810
FREEDOM BLUE & MT ST BCBS
WV
01
—
0130753
UMWA
WV
01
—
020011800
FEDERAL BLACK LUNG
WV
05
—
14175
—
WV
01
—
14193
CARELINK & CARELINK PEIA
WV
01
—
151237200
US DOL & US POSTAL COMP
WV
05
—
2492253
—
OH
05
—
3810000056
—
WV
01
—
55-0516458
GROUP FEIN #
WV
01
—
550516458
ACORDIA NATIONAL PEIA
WV
05
—
550516458
—
WV
05
—
64080955
—
KY
01
—
I07407
BRICKSTREET INSURANCE
WV
Enumeration date
06/10/2005
Last updated
06/13/2024
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