Saraceno, Carmelo Antonio

Saraceno, Carmelo Antonio is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Saraceno, Carmelo Antonio can be contacted via phone (618) 549-5361.

Contact Information

Primary practice address
2601 W Main St Carbondale IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 549-5128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X ME30412 Florida
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036137891 Illinois

Profile Details

NPI number 1154563708
LBN Legal business name Saraceno, Carmelo Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2009
Last updated Jan 16th, 2017 - about 9 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 1154563708 NPPES
Florida MEDICAID 0394823-00
Florida Other 214881

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