- Practice location
- 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284
- Phone
- 618-233-5480
- Fax
- 618-222-4792
- Last updated
- April 12, 2018
Benjamin Anthony Nicotera is a Student in an Organized Health Care Education/Training Program based in O Fallon, IL. Benjamin Anthony Nicotera practices in O Fallon, IL and has the professional credentials of MD. The NPI Number for Benjamin Anthony Nicotera is 1407353790. The current practice location address for Benjamin Anthony Nicotera is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 and can be reached out via phone at 618-233-5480 and via fax at 618-222-4792.
Provider Profile Details
- NPI Number
- 1407353790
- Provider Name
- Benjamin Anthony Nicotera
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284
- Phone Number
- 618-233-5480
- Fax Number
- 618-222-4792
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 12, 2018
- Last Update Date
- April 12, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284 - City
- O Fallon
- State
- Illinois
- Zip
- 62269-1284
- Phone Number
- 618-233-5480
- Fax Number
- 618-222-4792
Provider Business Mailing Address Details
- Address
- 395 State St
Right Side
Amherst, MA 01002 - City
- Amherst
- State
- MA
- Zip
- 01002
- Phone Number
- 413-244-2936
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near O Fallon, IL
View all Student in an Organized Health Care Education/Training Program providers in O Fallon →Frequently Asked Questions
What is the NPI number of Benjamin A Nicotera, MD?
The NPI number of Benjamin A Nicotera, MD is 1407353790. It was assigned on April 12, 2018 and is currently active in the NPPES registry.
What is the specialty of Benjamin A Nicotera, MD?
Benjamin A Nicotera, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Benjamin A Nicotera, MD practice?
The practice location is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284. The office can be reached at 618-233-5480 (phone) or 618-222-4792 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407353790 directly on the NPPES registry website.