Ciccone, John M
Ciccone, John M is an individual health care provider with primary practice located at 3510 Hwy 17 North Ste 325, Mt. Pleasant SC 29466-8232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ciccone, John M can be contacted via phone (843) 606-8982.Contact Information
Primary practice address
3510 Hwy 17 North Ste 325
Mt. Pleasant SC 29466-8232
Phone: (843) 606-8982
Fax: (843) 606-8077
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MA37832 | New Jersey |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 34588 | South Carolina |
Profile Details
NPI number | 1750378824 |
---|---|
LBN Legal business name | Ciccone, John M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2005 |
Last updated | Oct 19th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750378824 | NPPES |
Other | 1K9389 | HEALTHNET | |
Other | ES226 | HEALTHNET | |
Other | 0963382002 | HEALTHNET | |
Other | 1075758 | HEALTHNET | |
MEDICAID | 1747304 | HEALTHNET | |
Other | 4094234 | HEALTHNET | |
Other | 81554 | HEALTHNET | |
Other | 010000347500 | HEALTHNET | |
Other | 0199893000 | HEALTHNET | |
Other | 5710570 | HEALTHNET | |
Other | 28F431 | HEALTHNET |
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