Ciccone, Nicholas Giacomo
Ciccone, Nicholas Giacomo is an individual health care provider with primary practice located at 1030 Beaner Hollow Rd , Beaver PA 15009-9722. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ciccone, Nicholas Giacomo can be contacted via phone (724) 775-4242.Contact Information
Primary practice address
1030 Beaner Hollow Rd
Beaver PA 15009-9722
Phone: (724) 775-4242
Fax: (724) 775-4960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA061397 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2845 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2845 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2845 | South Carolina |
Profile Details
| NPI number | 1093104879 |
|---|---|
| LBN Legal business name | Ciccone, Nicholas Giacomo |
| Credentials | MSPAS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2015 |
| Last updated | Jul 10th, 2020 - about 5 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 | 1093104879 | NPPES |
| South Carolina | MEDICAID | 3416PA | |
| South Carolina | Other | SCB7227628 |
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