Doctor Name: | FREDRICK G BIANCHI |
NPI Number: | 1730320144 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | DC 12607 |
Business Practice Address: | 10 Santa Rosa St Ste 101 San Luis Obispo, CA - 934055825 |
Business Phone Number: | 8055447246 |
Business Fax Number: | 8057828097 |
Mailing Address: | Po Box 4659, SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934034659 |
Phone Number: | 8057864878 |
Fax Number: | 8055978354 |
NPI Enumeration Date: | 03/13/2009 |
NPI Last Update Date: | 03/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC 12607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |