Individual provider · Type 1 NPI

Michael Antwine

Contractor · Stonewall, LA

NPI number 1225972375 Active

Practice location

1318 Highway 171
Stonewall, LA 71078

Call (318) 925-9094 Map

Mailing address

8368 Indian Hills Blvd
Shreveport, LA 71107

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1225972375

Michael Antwine's National Provider Identifier is 1225972375, issued on Apr 17, 2026. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Stonewall, LA. The record was last updated on Apr 17, 2026.