Ciancio, Sebastian James

Ciancio, Sebastian James is an individual health care provider with primary practice located at 707 N Logan Ave , Danville IL 61832-4360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ciancio, Sebastian James can be contacted via phone (217) 477-4766.

Contact Information

Primary practice address
707 N Logan Ave Danville IL 61832-4360
Phone: (217) 477-4766
Fax: (217) 477-4752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME82330 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X 036-116977 Illinois

Profile Details

NPI number 1891893525
LBN Legal business name Ciancio, Sebastian James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 12th, 2015 - 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 1891893525 NPPES
Indiana MEDICAID 2008515830A
Indiana Other 292136
Indiana MEDICAID 036116977
Indiana Other 771911

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