Provider Demographics
NPI:1164754396
Name:SAITTA, ERIC
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:SAITTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11927 AMHERST DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-4508
Mailing Address - Country:US
Mailing Address - Phone:314-315-1549
Mailing Address - Fax:
Practice Address - Street 1:16517 VANDERBILT DR
Practice Address - Street 2:#1
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-7550
Practice Address - Country:US
Practice Address - Phone:239-495-6509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2648171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist