Giacontiere, Kevin Joseph

Giacontiere, Kevin Joseph is an sole proprietor health care provider with primary practice located at 3500 Jefferson St Ste 200, Austin TX 78731-6224. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Giacontiere, Kevin Joseph can be contacted via phone (512) 451-0139.

Contact Information

Primary practice address
3500 Jefferson St Ste 200 Austin TX 78731-6224
Phone: (512) 451-0139
Fax: (512) 323-5880
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA01948 Texas

Profile Details

NPI number 1942205430
LBN Legal business name Giacontiere, Kevin Joseph
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated May 26th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942205430 NPPES
Texas Other 0040EE BLUE CROSS BLUE SHIELD
Texas Other 88N360 BLUE CROSS BLUE SHIELD
Texas Other 970030195 BLUE CROSS BLUE SHIELD
Texas Other CK7292 BLUE CROSS BLUE SHIELD

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