Ciaglia, Richard G

Ciaglia, Richard G is an individual health care provider with primary practice located at 1102 W Highland Ave , Phoenix AZ 85013-2470. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ciaglia, Richard G can be contacted via phone (602) 707-2418.

Contact Information

Primary practice address
1102 W Highland Ave Phoenix AZ 85013-2470
Phone: (602) 707-2418
Fax: (602) 707-2040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LSAC10488 Arizona

Profile Details

NPI number 1467594085
LBN Legal business name Ciaglia, Richard G
Credentials MA LISAL
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 9th, 2007 - about 18 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 1467594085 NPPES
Arizona MEDICAID 126285

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