Cuculich, Phillip Stephan
Cuculich, Phillip Stephan is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Cardiology, Ste 8B, Saint Louis MO 63110-1032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Cuculich, Phillip Stephan can be contacted via phone (314) 362-1291.Contact Information
Primary practice address
4921 Parkview Pl Div Im Cardiology, Ste 8B
Saint Louis MO 63110-1032
Phone: (314) 362-1291
Fax: (314) 362-4278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | 2005018586 | Missouri |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 2005018586 | Missouri |
Profile Details
| NPI number | 1639252190 |
|---|---|
| LBN Legal business name | Cuculich, Phillip Stephan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Apr 25th, 2024 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639252190 | NPPES |
| Missouri | MEDICAID | 207575507 |
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