Cianciolo, John Mark
Cianciolo, John Mark is an sole proprietor health care provider with primary practice located at 500 Orange St , New Haven CT 06511-3808. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cianciolo, John Mark can be contacted via phone (203) 495-6800.Contact Information
Primary practice address
500 Orange St
New Haven CT 06511-3808
Phone: (203) 495-6800
Fax: (203) 495-6801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 000744 | Connecticut |
Profile Details
| NPI number | 1770578700 |
|---|---|
| LBN Legal business name | Cianciolo, John Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | May 30th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770578700 | NPPES |
| Connecticut | MEDICAID | 004088375 |
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