Spencer Ciancola

Physician Assistant · Bennington, VT

Individual Active NPI

NPI number 1285295154

Practice location

140 Hospital Dr Ste 111
Bennington, VT 05201-5010
Phone
(802) 440-4077

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NPI record

NPI
1285295154
Entity type
Individual (Type 1)
Enumeration date
June 21, 2019
Last updated
December 26, 2021
Certified
December 26, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 055.0031452 VT

Mailing address

100 Hospital Dr
Bennington, VT 05201-5004

About Spencer Ciancola

Spencer Ciancola is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 140 Hospital Dr Ste 111, Bennington, VT 05201-5010. The NPI number 1285295154 was assigned on June 21, 2019 and the record was last updated on December 26, 2021.

Spencer Ciancola lists a license in the registry: #055.0031452 (VT) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Spencer Ciancola?

The NPI number is 1285295154.

What is the phone number of Spencer Ciancola?

The phone number listed for the practice location is (802) 440-4077.

Where is Spencer Ciancola located?

140 Hospital Dr Ste 111, Bennington, VT 05201-5010.

What is the taxonomy code for Spencer Ciancola?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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