Siccion, Eduardo P
Siccion, Eduardo P is an individual health care provider with primary practice located at 4523 Fruit St , La Verne CA 91750-2724. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Siccion, Eduardo P can be contacted via phone (860) 999-9999.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 041916 | Connecticut |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | C54593 | California |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | C54593 | California |
Profile Details
NPI number | 1083701965 |
---|---|
LBN Legal business name | Siccion, Eduardo P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2006 |
Last updated | Mar 4th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083701965 | NPPES |
Connecticut | MEDICAID | 001419168 |
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