Vricella, Gino Joseph

Vricella, Gino Joseph is an individual health care provider with primary practice located at 1 Childrens Pl Div Surg Urology Ped, Ste 2A, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Urology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Vricella, Gino Joseph can be contacted via phone (314) 454-6034.

Contact Information

Primary practice address
1 Childrens Pl Div Surg Urology Ped, Ste 2A Saint Louis MO 63110-1002
Phone: (314) 454-6034
Fax: (314) 454-2876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 2013017657 Missouri
Allopathic & Osteopathic Physicians / Urology 208800000X 2013017657 Missouri

Profile Details

NPI number 1548464431
LBN Legal business name Vricella, Gino Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Nov 15th, 2021 - about 5 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 1548464431 NPPES
Missouri MEDICAID 200006355

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