Ciancione, Jerome David

Ciancione, Jerome David is an individual health care provider with primary practice located at 7900 N Kings Hwy , Myrtle Beach SC 29572-3055. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ciancione, Jerome David can be contacted via phone (843) 449-3381.

Contact Information

Primary practice address
7900 N Kings Hwy Myrtle Beach SC 29572-3055
Phone: (843) 449-3381
Fax: (843) 449-9721
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1845 South Carolina

Profile Details

NPI number 1295707040
LBN Legal business name Ciancione, Jerome David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jun 1st, 2020 - about 6 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 1295707040 NPPES
Ohio MEDICAID 2381284
Ohio MEDICAID 3810011026

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