Healthcare Provider Details

I. General information

NPI: 1447864640
Provider Name (Legal Business Name): STEVEN CIMIJOTTI RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2020
Last Update Date: 09/04/2020
Certification Date: 09/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWTHORNE LN
CHARLOTTE NC
28204-2515
US

IV. Provider business mailing address

14437 TRIBUTE PLACE DR
HUNTERSVILLE NC
28078-3439
US

V. Phone/Fax

Practice location:
  • Phone: 704-384-4000
  • Fax:
Mailing address:
  • Phone: 980-309-8519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberA-9946
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: