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Contact Information

CIACCIO MEDICAL, P.C.
1401 W CENTRAL PARK AVE
DAVENPORT, IA52804-1707
 Phone: 309-236-8075
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for CIACCIO MEDICAL, P.C.

NPI Number 1043481179
LBN Legal business name CIACCIO MEDICAL, P.C.
Authorized official JOHN CIACCIO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/17/2008
Last updated 03/17/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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