Siciliano, Carl J

Siciliano, Carl J is an individual health care provider with primary practice located at 7424 Us Highway 64 Ste 119, Bartlett TN 38135. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Siciliano, Carl J can be contacted via phone (901) 381-2800.

Contact Information

Primary practice address
7424 Us Highway 64 Ste 119 Bartlett TN 38135
Phone: (901) 381-2800
Fax: (901) 381-2677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X TN0000000422 Tennessee

Profile Details

NPI number 1922056431
LBN Legal business name Siciliano, Carl J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 5th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922056431 NPPES
Tennessee Other P00450580 MEDICARE ID TYPE UNSPECIFIED

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