MEDICARE: MS. SHARON M BIANCO D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301005375	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	950Q250020	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1306905260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON M BIANCO D.C.

Provider Business Mailing Address
First Line	:	5000 ALLEN RD
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-2918
Country	:	US
Telephone Number	:	313-386-1050
Fax Number	:	313-386-2103

Provider Business Practice Location Address
First Line	:	5000 ALLEN RD
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-2918
Country	:	US
Telephone Number	:	313-386-1050
Fax Number	:	313-386-2103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2006
Last Update Date	:	04/07/2015

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