Cianciolo, Joseph Jude

Cianciolo, Joseph Jude is an sole proprietor health care provider with primary practice located at 102 Mactanly Pl , Staunton VA 24401-2316. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cianciolo, Joseph Jude can be contacted via phone (540) 886-3063.

Contact Information

Primary practice address
102 Mactanly Pl Staunton VA 24401-2316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001716 Virginia

Profile Details

NPI number 1407828171
LBN Legal business name Cianciolo, Joseph Jude
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1407828171 NPPES
Virginia Other 013085 BLUE CROSS BLUE SHIELD
Virginia MEDICAID 7701896 BLUE CROSS BLUE SHIELD

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