Idiculla, Anne A.
Idiculla, Anne A. is an individual health care provider with primary practice located at 802 N Riverside Rd Suite 260, Saint Joseph MO 64507-9794. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Idiculla, Anne A. can be contacted via phone (816) 271-7673.Contact Information
Primary practice address
802 N Riverside Rd Suite 260
Saint Joseph MO 64507-9794
Phone: (816) 271-7673
Fax: (816) 271-4924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 2001010866 | Missouri |
Profile Details
| NPI number | 1114954559 |
|---|---|
| LBN Legal business name | Idiculla, Anne A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Oct 6th, 2017 - about 7 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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