1699820415 NPI number — DAVID A CIAROLLA, MD, INC

Table of content: (NPI 1699820415)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699820415 NPI number — DAVID A CIAROLLA, MD, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAVID A CIAROLLA, MD, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699820415
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/01/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1228 COUNTRY CLUB RD
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
FAIRMONT
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26554-2369
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-363-7990
Provider Business Mailing Address Fax Number:
304-363-7997

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1228 COUNTRY CLUB RD
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
FAIRMONT
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26554-2369
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-363-7990
Provider Business Practice Location Address Fax Number:
304-363-7997
Provider Enumeration Date:
01/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CIAROLLA
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
ANTHONY
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
304-363-7990

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  WV17859 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0088242001 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




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