Cianciabella, Augusto Jorge

Cianciabella, Augusto Jorge is an individual health care provider with primary practice located at 10502 Park Rd Ste 120 , Charlotte NC 28210-8490. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Cianciabella, Augusto Jorge can be contacted via phone (704) 702-3880.

Contact Information

Primary practice address
10502 Park Rd Ste 120 Charlotte NC 28210-8490
Phone: (704) 702-3880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA20179 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1093953838
LBN Legal business name Cianciabella, Augusto Jorge
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2009
Last updated Aug 9th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093953838 NPPES
Florida Other PA9105911 LICENSE
Florida Other Y06SS LICENSE
Florida Other PA20179 LICENSE

Popular Providers