Provider Demographics
NPI:1245747963
Name:CIGAN, JOEL CRAIG
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:CRAIG
Last Name:CIGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 S 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-6176
Mailing Address - Country:US
Mailing Address - Phone:559-583-6393
Mailing Address - Fax:559-583-6395
Practice Address - Street 1:250 S 12TH AVE
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-6176
Practice Address - Country:US
Practice Address - Phone:559-583-6393
Practice Address - Fax:559-583-6395
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist