Siegfried, Carla J

Siegfried, Carla J is an individual health care provider with primary practice located at 4901 Forest Park Ave Fl 6 6Th Fl, Saint Louis MO 63108-1402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is her primary health care specialty. Siegfried, Carla J can be contacted via phone (314) 362-3937.

Contact Information

Primary practice address
4901 Forest Park Ave Fl 6 6Th Fl Saint Louis MO 63108-1402
Fax: (314) 362-3725
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R7N83 Missouri
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X R7N83 Missouri

Profile Details

NPI number 1457379133
LBN Legal business name Siegfried, Carla J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 7th, 2022 - about 3 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 1457379133 NPPES
Missouri MEDICAID 207661612
Missouri MEDICAID ENROLLED

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