Provider Demographics
NPI:1841649415
Name:SILVANI, JOHN STEPHEN (RN CARN CAS LCDCII)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:STEPHEN
Last Name:SILVANI
Suffix:
Gender:M
Credentials:RN CARN CAS LCDCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2733 SATURN DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-5016
Mailing Address - Country:US
Mailing Address - Phone:513-479-3952
Mailing Address - Fax:
Practice Address - Street 1:4302 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-6625
Practice Address - Country:US
Practice Address - Phone:513-479-3952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-06
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDCII.161554101Y00000X
OHRN222372163WA2000X, 163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0184037Medicaid