Individual provider · Type 1 NPI
Eric Antkiewicz
Student in an Organized Health Care Education/Training Program · Kenosha, WI
NPI number
1578460010
Active
Practice location
2001 Alford Dr
Kenosha, WI 53140-1994
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2 other providers at this address
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About NPI 1578460010
Eric Antkiewicz's National Provider Identifier is 1578460010, issued on Oct 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kenosha, WI. The record was last updated on Oct 20, 2026.