Cicciarelli, Scott Joseph

Cicciarelli, Scott Joseph is an individual health care provider with primary practice located at 6000 N Allen Rd , Peoria IL 61614-3294. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Cicciarelli, Scott Joseph can be contacted via phone (309) 691-1400.

Contact Information

Primary practice address
6000 N Allen Rd Peoria IL 61614-3294
Phone: (309) 691-1400
Fax: (309) 693-3197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085008908 Illinois

Profile Details

NPI number 1801485271
LBN Legal business name Cicciarelli, Scott Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2021
Last updated Jun 13th, 2022 - about 2 years 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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