Provider Demographics
NPI:1720419823
Name:CIARNIELLO, JOHN ANTHONY
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANTHONY
Last Name:CIARNIELLO
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 1:9730 MOUNT NEBO RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:OH
Mailing Address - Zip Code:45052-9721
Mailing Address - Country:US
Mailing Address - Phone:513-532-3657
Mailing Address - Fax:
Practice Address - Street 1:9730 MOUNT NEBO RD
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:OH
Practice Address - Zip Code:45052-9721
Practice Address - Country:US
Practice Address - Phone:513-532-3657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-28
Last Update Date:2013-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03232793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist