Ciccia, Eileen Anna

Ciccia, Eileen Anna is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Nephrology, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Ciccia, Eileen Anna can be contacted via phone (314) 454-6043.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Nephrology Saint Louis MO 63110-1002
Phone: (314) 454-6043
Fax: (888) 463-6898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2019017048 Missouri
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 2019017048 Missouri

Profile Details

NPI number 1497013767
LBN Legal business name Ciccia, Eileen Anna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Apr 25th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497013767 NPPES
Missouri MEDICAID 200028536

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